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TRANSNASAL APPROACH

Arul karthik Answered Mon 21st of November, 2011 19:07:18 PM

Hello everyone,

I know I posted this question before, but I am looking to see if anyone has something new regarding this approach….dr does 61608 but the approach is not open, is transnasal…I am using 31288-50 as of now, but RVU’s-8 are considerably less than an open approach which runs around 91 RVU’s… my doctor is saying is actually more work to do endoscopic approach, but less invasive and also he doesn’t want to use unlisted code..

Any thoughts?

SuperCoder Answered Tue 22nd of November, 2011 07:26:44 AM

The CPT 61608 is for open neurosurgery, however CPT 31288 for sinus surgery. These two are quite different procedure and there is no relevancy at all .

Transnasal or transsphenoidal way of neuroendoscopy is just an approach to access skull base anatomy (like pituitary gland). There are several transnasal neuroendoscopy codes (62160-62165).

Need more documentation to assist you in a better manner.

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