Can CPT code 30901 and 31231 be billed together?
Answer: No. CPT 31231 is a diagnostic procedure and includes the parenthetical statement “separate procedure.” That means 31231 is included in a more definitive therapeutic/treatment procedure at the same operative session. Report either CPT code 31231 or 30901 (or 30903 or 30905), but not both codes.
Does 30903 need a modifier?
Since 30903 is the Column II code (considered bundled into 31231), you append modifier 59 to it. You would code 31231 (with the diagnosis for the earlier encounter) and 30903-59, 784.7 (Epistaxis).
What is the CPT code for nasal packing?
So if your otolaryngologist performs anterior and posterior packing, report only 30905.
What is extensive nasal packing?
Nasal packing is a common medical procedure that is performed to control epistaxis (bleeding from the nose). Nasal packing may be “anterior” nasal packing that is done by using a gauze inserted inside the nasal cavity after numbing the nasal area.
What is the difference between CPT 30901 and 30903?
The only description CPT gives to differentiate the two codes is that 30901 is “limited” and 30903 is “extensive.” Posterior epistaxis control only has one code for the initial management (30905, 3.01 RVU, Medicare $108.36) and one for subsequent care (30906, 3.88 RVU, Medicare $139.68) if the bleeding recurs.
Can 31575 and 31231 be billed together?
The combination of 31575 with 31231 would similarly call for separate, sufficient medical indications and the medically indicated use of separate endoscopes, says Levinson.
What is a rhino rocket for epistaxis?
Rapid Rhino devices feature high volume low pressure tamponade to ensure gentle and even compression to control epistaxis at the source of the bleed. Rapid Rhino has a unique design that will control epistaxis the first time and is more comfortable for patients upon insertion and removal than other packing options.
What is the difference between anterior and posterior epistaxis?
Most cases of epistaxis occur in the anterior part of the nose, with the bleeding usually arising from the rich arterial anastomoses of the nasal septum (Kiesselbach’s plexus). Posterior epistaxis generally arises from the posterior nasal cavity via branches of the sphenopalatine arteries.
Does CPT code 31231 need a modifier?
CPT 31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure), is the base code for this family of endoscopic surgeries. Modifier 59 or modifier XS would still be used with 31231 under the multiple endoscopy rules.
What is CPT code laryngoscopy?
31575
For a laryngoscopy, flexible fiberoptic; diagnostic, bill with CPT procedure code 31575. If the CPT definition includes the use of an operating microscope, it is not appropriate to code the microscope code (69990) separately. To report flexible fiberoptic endoscopic procedures, use codes 92612-92617.
