tci Outpatient Facility Coding Alert - 2019 Issue 1

You Be the Coder: When in Doubt, Use Clinical Responsibility as a Reference

Question: My physician is suggesting that we report code 30117 for the removal of a nasopharyngeal mass using scope and biting forceps. I do not believe this code is correct, but cannot come up with a better alternative outside of an unlisted code. How should we report this service? Texas Subscriber Answer: The confusion here seems to lie within the code description for 30117 (Excision or destruction (eg, laser), intranasal lesion; internal approach). As you can see, despite the fact that the provider performs an endoscopic approach, there is no reference to endoscopic approach in the description. However, the...

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