tci Part B Insider - 2012 Issue 5

Reader Question: 31238: Know the Ropes for Nosebleed Control

Question: A patient came into our office with a nosebleed. My physician provided epistaxis control using an endoscope. I reported 30901 and 31231. The patient's payer keeps bundling the nosebleed control into the endoscopy code. Should I appeal this?Answer: No. The problem is with your coding, not the payer's policy. CPT® includes a specific code for endoscopic epistaxis control: 31238 (Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage). In this procedure, the physician uses an endoscope for a diagnostic evaluation of the bleeding nose and then places electrocautery instruments or lasers parallel to the endoscope to stop internal...

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