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Balloon Dilation Septoplasty

Camille Posted Fri 15th of November, 2019 12:32:59 PM
Indication: Deviated nasal septum. Procedure note excerpt: "Starting on the left-hand side, using an Acclarent 16-mm airway balloon, it is placed along the nasal floor under endoscopic guidance. It is dilated to 8 atmospheres of pressure and held for 2 minutes. A second dilation is performed more caudally as well on the left-hand side. Continuing, on the right-hand side, similar process. Continuing, this did nicely mobilize the caudal septum." Question: this is a type of septoplasty, but does not include the actual work and only a fraction of the time described in CPT 30520 (Septoplasty). There isn't a balloon dilation CPT specifically for the nasal septum. Should I code this to CPT 30999 Unlisted Procedure Nose? Thank you kindly!
SuperCoder Answered Mon 18th of November, 2019 02:29:38 AM
Hi Camille nbsp Thanks for your question nbsp Physician has performed dilation of the nasal cavity to repair the deviated septum The deviated septum was repaired via balloon dilation but we do not have a CPT code for this type of septoplasty Hence unlisted code should be reported nbsp Please...
Camille Posted Mon 18th of November, 2019 12:26:21 PM
Thank you for confirming that Will you please advise me on this related question The balloon procedure was performed as per my Procedure note excerpt above but surgeon determined the balloon procedure failed to create the desired mucosal defect on the left and so had to make a small left...
SuperCoder Answered Tue 19th of November, 2019 02:17:15 AM

This procedure now should be considered as septoplasty and you should report septoplasty. Balloon procedure cannot be reported since the desired result was achieved from the final procedure, which was septoplasty.

 

Hope this helps.

 

Thanks.

 

Camille Posted Tue 26th of November, 2019 19:52:56 PM
In a different scenario the surgeon performs the balloon procedure bilaterally and then This created a septal fracture and improved nasal airway A posteriorly based hemitransection incision was made under direct vision on the right side medially onto the fragments created These bony and cartilaginous fragments were then removed A...
SuperCoder Answered Wed 27th of November, 2019 02:34:33 AM

Hi,

 

Please raise a different thread for a different query. Multiple queries cannot be answered on a single thread.

 

Thanks.

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