Understanding Endoscopic Sinus Surgery CPT Codes

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Understanding Endoscopic Sinus Surgery CPT Codes

• Endoscopic sinus surgery is a minimally invasive
  procedure performed to treat various sinus
  conditions, including chronic sinusitis, nasal
  polyps, and sinus tumors. To ensure accurate
  documentation and appropriate billing, the
  American Medical Association (AMA) has
  established Current Procedural Terminology (CPT)
  codes for different aspects of endoscopic sinus
  surgery. In this article, we will explore the key
  endoscopic sinus surgery CPT codes, along with
  code descriptions, and coding guidelines.
• Understanding Endoscopic Sinus Surgery CPT Codes
• 1. CPT Code 31241 Nasal/Sinus Endoscopy with
  Ligation of Sphenopalatine Artery
• This code is used when performing a nasal/sinus
  endoscopy with the ligation of the sphenopalatine
  artery. Do not report this code in conjunction
  with 31238 when performed on the same side.
• 2. CPT Code 31254 Nasal/Sinus Endoscopy with
  Partial Ethmoidectomy (Anterior)
• This code is utilized for surgical endoscopy of
  the nasal/sinus cavity, along with a partial
  ethmoidectomy of the anterior ethmoid sinus. Do
  not report this code in conjunction with 31253,
  31255, 31257, 31259, 0406T, or 0407T when
  performed on the same side.

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Understanding Endoscopic Sinus Surgery CPT Codes
3. CPT Code 31255 Nasal/Sinus Endoscopy with
Total Ethmoidectomy (Anterior and
Posterior) This code is used for surgical
endoscopy of the nasal/sinus cavity, along with a
total ethmoidectomy involving both the anterior
and posterior ethmoid sinuses. Do not report this
code in conjunction with 31253, 31254, 31257,
31259, 31276, 31287, 31288, 0406T, or 0407T when
performed on the same side. 4. CPT Code
31253 Nasal/Sinus Endoscopy with Total
Ethmoidectomy (Anterior and Posterior) and
Frontal Sinus Exploration This code is employed
for surgical endoscopy of the nasal/sinus cavity,
including a total ethmoidectomy with both
anterior and posterior involvement, as well as
frontal sinus exploration with the removal of
tissue from the frontal sinus. Do not report this
code in conjunction with 31237, 31254, 31255,
31276, 31296, 31298, 0406T, or 0407T when
performed on the same side. 5. CPT Code
31257 Nasal/Sinus Endoscopy with Total
Ethmoidectomy (Anterior and Posterior) and
Sphenoidotomy This code is used for surgical
endoscopy of the nasal/sinus cavity, including a
total ethmoidectomy with both
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Understanding Endoscopic Sinus Surgery CPT Codes
anterior and posterior involvement, as well as a
sphenoidotomy. Do not report this code in
conjunction with 31235, 31237, 31254, 31255,
31259, 31287, 31288, 31297, 31298, 0406T, or
0407T when performed on the same side. 6. CPT
Code 31259 Nasal/Sinus Endoscopy with Total
Ethmoidectomy (Anterior and Posterior),
Sphenoidotomy, and Removal of Tissue from
Sphenoid Sinus This code is utilized for
surgical endoscopy of the nasal/sinus cavity,
including a total ethmoidectomy with both
anterior and posterior involvement, a
sphenoidotomy, and the removal of tissue from the
sphenoid sinus. Do not report this code in
conjunction with 31235, 31237, 31254, 31255,
31257, 31287, 31288, 31297, 31298, 0406T, or
0407T when performed on the same side. 7. CPT
Code 31256 Nasal/Sinus Endoscopy with Maxillary
Antrostomy This code is used when performing
endoscopic anterior and posterior ethmoidectomy
(APE) and antrostomy, with or without the removal
of polyps. For endoscopic APE, antrostomy, and
removal of antral mucosal disease, use 31255 and
31267.
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Understanding Endoscopic Sinus Surgery CPT Codes
8. CPT Code 31267 Nasal/Sinus Endoscopy with
Maxillary Antrostomy and Removal of Tissue from
Maxillary Sinus This code is employed for
endoscopic anterior and posterior ethmoidectomy
(APE) and maxillary antrostomy, with the removal
of tissue from the maxillary sinus. Do not report
this code in conjunction with 31256 or 31295 when
performed on the same sinus. 9. CPT Code
31276 Nasal/Sinus Endoscopy with Frontal Sinus
Exploration, including Removal of Tissue from
Frontal Sinus This code is used for surgical
endoscopy of the nasal/sinus cavity, including
frontal sinus exploration and the removal of
tissue from the frontal sinus. Do not report this
code in conjunction with 31253, 31255, 31296, or
31298 when performed on the same side. 10. CPT
Codes 31287 Nasal/Sinus Endoscopy, Surgical,
with Sphenoidotomy and CPT Codes
31288 Nasal/sinus Endoscopy, Surgical, with
Sphenoidotomy with Removal of Tissue from the
Sphenoid Sinus
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Understanding Endoscopic Sinus Surgery CPT Codes
These codes are utilized for surgical endoscopy
of the nasal/sinus cavity, including a
sphenoidotomy. Do not report 31287 in conjunction
with 31235, 31255, 31257, 31259, 31288, 31297, or
31298 when performed on the same side. Similarly,
do not report 31288 in conjunction with 31235,
31255, 31257, 31259, 31287, 31297, or 31298 when
performed on the same side. A detailed
understanding of the endoscopic sinus surgery CPT
codes is essential for proper documentation,
avoid claim denials, and timely insurance
reimbursement. The provided codes cover a range
of procedures involving different sinuses and
tissue removal. Adhering to the guidelines and
accurately documenting the performed procedures
will ensure appropriate reporting and facilitate
efficient communication among healthcare
providers and insurance entities. About Medical
Billers and Coders (MBC) Medical Billers and
Coders (MBC) is a renowned ENT billing company
that excels in providing comprehensive and
efficient billing services for ear, nose, and
throat specialists. With our expertise in medical
coding, reimbursement policies, and compliance
regulations, MBC stands out as a leading company
in the field. Our team of skilled professionals
is well-versed in the intricacies of ENT billing,
ensuring accurate coding, timely claim
submission, and maximum reimbursement for ENT
services.
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Understanding Endoscopic Sinus Surgery CPT Codes
These codes are utilized for surgical endoscopy
of the nasal/sinus cavity, including a
sphenoidotomy. Do not report 31287 in conjunction
with 31235, 31255, 31257, 31259, 31288, 31297, or
31298 when performed on the same side. Similarly,
do not report 31288 in conjunction with 31235,
31255, 31257, 31259, 31287, 31297, or 31298 when
performed on the same side. A detailed
understanding of the endoscopic sinus surgery CPT
codes is essential for proper documentation,
avoid claim denials, and timely insurance
reimbursement. The provided codes cover a range
of procedures involving different sinuses and
tissue removal. Adhering to the guidelines and
accurately documenting the performed procedures
will ensure appropriate reporting and facilitate
efficient communication among healthcare
providers and insurance entities. About Medical
Billers and Coders (MBC) Medical Billers and
Coders (MBC) is a renowned ENT billing company
that excels in providing comprehensive and
efficient billing services for ear, nose, and
throat specialists. With our expertise in medical
coding, reimbursement policies, and compliance
regulations, MBC stands out as a leading company
in the field. Our team of skilled professionals
is well-versed in the intricacies of ENT billing,
ensuring accurate coding, timely claim
submission, and maximum reimbursement for ENT
services.
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Understanding Endoscopic Sinus Surgery CPT Codes
MBCs commitment to excellence, attention to
detail, and deep understanding of the ENT
specialty make them a trusted partner for ENT
practitioners. For further information about our
otolaryngology billing services, please reach out
via email at info_at_medicalbillersandcoders.com or
by calling 888-357-3226. CPT is a registered
trademark of the American Medical Association