Carol Posted Tue 03rd of October, 2017 07:52:32 AM
My doctor use a Propel Implant (0406T) when he performed Frontal Balloon sinus surgery and a Middle Meatal Antrostomy. Can I charge for the Propel Implant?
SuperCoder Answered Wed 04th of October, 2017 05:46:25 AM
CPT 0406T is for nasal endoscopy, surgical, ethmoid sinus, placement of drug eluting implant. In this procedure, the physician performs nasal endoscopy, a procedure that enables the direct vision evaluation of the nasal and sinus passages via a rigid or a flexible fiberoptic endoscope inserted through the nostril to view the ethmoid sinuses. A drug eluting stent (DES) is a surgically inserted scaffold that aids in the healing of affected tissue by releasing drug-loads slowly and continuously from polymer matrices to affected areas in the sinuses or nasal cavities for a prolonged period of time. Report 0407T when a biopsy, polypectomy, or debridement is also performed. Hence, implant not to be coded separately when billing CPT 0406T for nasal endoscopy with implant placement.