Kristin Posted Thu 02nd of February, 2012 21:42:44 PM
Can 21335 and 30520 be billed based on the OP report below?
1. Nose - Nose Reduction, Open, 21335
2. Nose - Septoplasty, 30520
The patient was taken to the operating room. A Time-out was performed in accordance with JCAHO Standards prior to intubation. The patient underwent General Endotracheal Anesthesia. The operating table was turned 90 degrees to the right. The patient underwent topical decongestant for anesthesia and hemostasis. Cotton pledgets soaked in Oxymetazoline were placed into each nasal cavity. The patient was prepped and draped in a standard fashion. The nasal dorsum was deviated to the right. The septum was deviated to the right resulting in an 85-90% obstruction anteriorly. The pledgets were removed and using a Vienna speculum and a 15 blade a left hemitransfixtion was made. A mucoperichondrial /periosteal flap was elevated with a Woodsen and Freer elevator past the bony-cartilaginous junction and along the maxillary crest. The septum was moderately deviated anterior to the right. The cartilaginous septum was allowed to be moved freely to the midline. Cartilaginous deviations were corrected with cross-hatching incisions with a freer elevator. The hemitransfixtion incision was closed and mucoperichondrial flaps were reapproximated. Attention was turned to the Nasal Pyramid. Through a open approach intranasal fracture reduction was achieved with reduction forceps and osteotomies. the nasal bones were reduced to the midline. The dorsum was reduced of bony fragments with dorsal reduction scissors and rasps. The inferior turbinates showed asymmetric hypertrophy and required outfracturing to improve the nasal cavity airflow. A standard Aquaplast Cast was applied. No active bleeding was noted at the end of the procedure. The septum was noted to be in the midline. Kennedy packs were placed into each nasal cavity. The patient was returned to anesthesia and awakened in the operating room. The patient was taken to the recovery room in stable condition.
SuperCoder Answered Mon 13th of February, 2012 19:20:08 PM
yes, since the CCI edit no longer exists on this code pair.
Jen Godreau, CPC, CPMA, CPEDC
Director of Development & Operations
SuperCoder.com, The Coding Institute, LLC