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Reduction of Nasal Turbinates

Cindy Posted Fri 29th of March, 2013 08:25:21 AM

I need help with this surgical procedure for coding. would you use the 30401 or 30801.Please see below
Attention was turned to the inferior turbinates. they were hypertrophic. They were reduced in volume using a submucuous resection technique. The coblation turbinate wand was passed 10 times to both inferior turbinates at 4 watts of power and 10 second duration. Additionally the inferior turbinate was outfractured. Bactroban ointment was instilled into nasal space.
Thank you
Cindy

Cindy Posted Fri 29th of March, 2013 08:35:19 AM

I used the wrong code, I meant 30140, not 30401. sorry about that. would you use 30140 or 30801. Thank you

Cindy Posted Mon 01st of April, 2013 13:27:01 PM

Has anyone had a chance to look at this? Thank you Cindy

SuperCoder Answered Mon 01st of April, 2013 16:15:43 PM

Yes Cindy, We will reply very soon. Thanks

SuperCoder Answered Mon 01st of April, 2013 18:57:51 PM

What Is Cautery of the Inferior Turbinates?

Three sets of turbinate pairs in the nose (superior, middle, and inferior) secrete mucous, which provides humidity and keeps the inside of the nose clean. Swollen turbinates (478.0, Hypertrophy of nasal turbinates) may obstruct breathing. ENTs perform several procedures, including those that 30801 and 30802 describe, to alleviate this swelling -- alone or, more often, with other procedures, such as FESS and septoplasty.

30801/30802: These codes describe electrocautery or ablation of the turbinate mucosa to shrink enlarged tissues. No incision or excision is performed. The code 30801 describes a superficial, or external, cauterization on the surface of the mucosa, whereas 30802 describes the destruction of the mucosa from within.

If your ENT performs these procedures with an unrelated service, you should append modifier 59 to 30801 or 30802 to show that the turbinate shrinkage is not bundled with the other procedure.

Cindy Posted Mon 01st of April, 2013 21:36:11 PM

What about the outfracture of the turbinates,is this included in the 30802? Basically you are saying this does not qualify for 30401? But is there a better code than 30802?

SuperCoder Answered Tue 02nd of April, 2013 22:25:24 PM

You should report this session with 30140-50. CPT considers the fracture (30930) inclusive in 30140. "Do not report 30130 or 30140 in conjunction with 30801, 30802, 30930," states the AMA in the parenthetical instruction following 30140.

Disregard the earlier answer.

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