tci Part B Insider - 2012 Issue 45

Part B Coding Coach: Ask 2 Questions Before Coding Sinus Debridement -- or Pay the Price

You can report 31237 as a post-op procedure If denials and quickly advised "don’ts" are making you reluctant to code for postoperative endoscopic debridement, gain the confidence to use 31237 by pinpointing the initial surgery and the post-procedure’s reason. Which Surgery Did the ENT Initially Perform? An otolaryngologist may perform postoperative debridements (31237, Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement [separate procedure]) for sinusitis after functional endoscopic sinus surgery (FESS, 31254-31294), which may also include septoplasty (30520, Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft) and/or turbinectomy (30130, Excision inferior...

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