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Otolaryngology Coding Alert

Reader Question:

Look to 30400 for Open Nasal Reconstruction

Question: Which code should we report when the physician performs an open nasal reconstruction? Pennsylvania Subscriber Answer: The answer depends on the specific details in your otolaryngologist’s operative report, but most open nasal reconstructions warrant 30400 (Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip). If the surgeon also repairs the septum, you should report 30420 (... including major septal repair) instead.