Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

Nasal Packing Billing Protocol

Kashonna Posted Thu 30th of January, 2020 17:26:25 PM
Is CPT code 30905 considered inclusive to fundamental endoscopic sinus surgery or balloon dilation codes? (EX: 31255, 31267, 31276, 31288, 31259, 31298, 31296, 31295). Can you please tell me what the appropriate charges would be for this case? Examination: Balloon Dilation, Maxillary: Consent Risks and benefits were explained at length with the patient, Written consent was obtained. Location Bilateral. Anesthesia Aerosolized Oxymetazoline with 4% Lidocaine was used, Pledgets with Oxymetazoline/2% Lidocaine were placed, Lidocaine with epinephrine 1:100,000 was injected, in the middle turbinate. Procedure After adequate local anesthesia was obtained, Nasal endoscope was inserted into the nose, Right, Left, Ball seeker was used to palpate the free edge of the uncinate, Maxillary sinus guide was placed into position, Guide wire was passed into the sinus, Position was confirmed with transillumination of the maxillary sinus, Balloon was passed over the wire and inflated to dilate the ostia, Irrigation catheter was passed over the wire, Sinus was irrigated with copious amounts of antibiotic irrigation. Condition Patient tolerated the procedure well, No immediate complications. Tru di Surgical navigation was used on a guided wire throughout the case. A 4mm microdebrider was utilized to remove nasal polyps that were obstructing the nasal cavity, next ethmoid lamellae were removed with a microdebrider and straight kerrison. Balloon Dilation, Frontal: Consent Risks and benefits were discussed at length with the patient, Written consent was obtained. Location Bilateral. Procedure After adequate local anesthesia was obtained, Nasal endoscopy was performed, Ball seeker was used to probe the free edge of the uncinate, Frontal sinus guide was placed, Guide wire was inserted into the frontal sinus, Placement was confirmed with transillumination, Balloon was passed over the wire into the frontal sinus, Nasofrontal duct was dilated using the balloon, Irrigation catheter was passed over the guide wire into the frontal sinus, Copious amount of antibiotic irrigation was passed into the frontal sinus. Condition Patient tolerated the procedure well, No immediate complications. Balloon Dilation, Sphenoid: Consent Risks and benefits were discussed at length with the patient, Written consent was obtained. Location Bilateral. Anesthesia Lidocaine 1% with epinephrine 1:100,000 was injected, into the sphenoid rostrum. Procedure After adequate local anesthesia was obtained, Nasal endoscopy was performed, A freer elevator was used to lateralize the middle turbinate, The superior turbinate was visualized, The sphenoid ostium was visualized, The guide wire was inserted into the sinus ostium, The balloon was passed over the guide wire, The ostium was dilated using the balloon. Condition The patient tolerated the procedure well. Turbinate Reduction: Consent The risks and benefits of the procedure were discussed at length with the patient, Written consent was obtained. Location Bilateral. Procedure A stab incision was created at the head of each inferior turbinate a straight thru cut was used to remove underlying bone, The inferior turbinates were outfractured using a Boise elevator. Findings Inferior turbinate hypertrophy. Condition The patient tolerated the procedure well. Nasal Packing: Indication: Posterior epistaxis, Bilateral epistaxis. Consent: Risks and benefits of the procedure were discussed at length, Informed consent was obtained. Location: Bilateral, Posterior. Anesthesia Topical anesthetic and decongestant were applied. Procedure: Anterior /Posterior sponge packing was placed. Condition: The patient tolerated the procedure well, Patient observed in the office to ensure the epistaxis was controlled. Normal ENT Exam: General Appearance: The patient is pleasant, has normal affect and demeanor, and is able to communicate normally. Head/Face: The patient has no pathologic scars, lesions or masses. The salivary glands are normal. The patient demonstrates good facial strength, Palpation of the face does not reveal any sinus tenderness.
SuperCoder Answered Fri 31st of January, 2020 01:45:46 AM

Hi Kashonna,

 

AAE does not provide coding for operative reports and chart notes.

 

SuperCoder offers SuperCoding on Demand (SOD) (http://www.supercoder.com/coding-answers/coding-on-demand) for coding of an operative report or chart note and you can contact (866)228-9252 or e-mail customerservice@supercoder.com for more information.

 

Thanks!

Related Topics