Jennifer Posted Thu 19th of October, 2017 08:44:56 AM
When my doctor performs either a revision rhinoplasty w/ septoplasty (30450 with 30520) or a primary septorhinoplasty (30420) and the patient also has a perforated septum that needs to be repaired with flaps, is that separately billable? And if it is separately billable, should it be 30630? If they perform a turbinate flap is it better to use 15576 for the septal repair?
SuperCoder Answered Fri 20th of October, 2017 03:34:51 AM
Let's answer your questions, one by one.
1. Yes, repair of nasal septal perforations is separately reportable, as CCI edits do not show any bundling of CPT code 30630 into 30420/30450.
2. Report repair of nasal septal perforations with CPT 30630.
3. If the mucoperichondrial flaps are of septum only, then it is included in CPT 30630. But if pedicle flaps were created from Turbinates, then report this with CPT 15576.