Full Answer
The appropriate codes in your case are 31238 and 30140-52, although the documentaion is not enough to clear the picture. Since the turbinates are coblated, they are shrunk in size and hence are reduced.
Hypertrophy of nasal turbinates. 2016 2017 2018 2019 Billable/Specific Code. J34.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM J34.3 became effective on October 1, 2018.
Surgery done for inferior turbinate deformity and hypertrophy of turbinates. General anesthesia and Coblator was placed on ablation was done to shrink entire inferior turbinates until blanching occurred. Cautery was used for hemostasis.
As such it is important to identify the type of turbinate procedure and the appropriate technique that is performed. • Turbinates that are obstructive and not responding to aggressive medical management may require surgical treatment.
Nasal coblation (also referred to as submucosal coblation or turbinate reduction) is a minimally invasive treatment for hypertrophic (swollen) turbinates. Turbinates are long, thin bones covered in thin membranes (soft tissue) lining both sides of the inside of your nasal passages.
Coblation of inferior turbinates is a day procedure, where ultrasound energy is applied to the lining of the nasal airway to reduce swelling from conditions such as allergic rhinitis. It is well tolerated in children, and often combined with other ENT procedures such as adenoidectomy, grommets or tonsillectomy.
A: You should code this service with CPT code 30140 – Submucous resection inferior turbinate, partial or complete, any method with modifier 50- Bilateral procedures.
The underlying difference between 30801 and 30802 is that 30802 enters the submucosa and shrinks the inferior turbinate. 30801 involves a reduction of the size of the inferior turbinate in a more superficial manner and does not enter the submucosal soft tissue.
Coblation (a word derived from "controlled ablation" involves using low-temperature radiofrequency and a saline solution to gently and precisely remove the problematic tissues. The risk of injury to surrounding tissue is much lower than with cautery, and patients return to their normal activities more quickly.
Introduction. Coblation Adenotonsillotomy is a subtotal removal of the tonsil and adenoid tissue. It has the advantage of being less painful than a traditional tonsillectomy with all the same benefits for sleep apnoea. The risk of bleeding is lower which is especially helpful with young children.
A submucosal resection of the turbinate is removal of bone from the lower turbinates. The turbinates are 3 sets of structures that line the inside wall of the nasal cavity. They are made of small bones that are surrounded by soft tissue. These turbinates filter, moisten, and heat air as it enters the nose.
CPT® 22899, Under Other Procedures on the Spine (Vertebral Column) The Current Procedural Terminology (CPT®) code 22899 as maintained by American Medical Association, is a medical procedural code under the range - Other Procedures on the Spine (Vertebral Column).
Inferior nasal turbinates are located inside your nose on either side of your nasal septum. They are bone covered with erectile soft tissue that helps create turbulence inside the nose to warm, purify and humidify the air that we breathe.
Facts: Normally, you'd code 30130 or 30140 separately with septoplasty or a functional endoscopic sinus surgery is carried out along with an inferior turbinate removal, either excision (30130) or submucous resection (30140), preserving the mucosa. CPT 31240 describes the removal of a middle turbinate endoscopically.
CPT® 61782, Under Stereotaxis Procedures on the Skull, Meninges, and Brain. The Current Procedural Terminology (CPT®) code 61782 as maintained by American Medical Association, is a medical procedural code under the range - Stereotaxis Procedures on the Skull, Meninges, and Brain.
From a coding perspective, code 30930 is a unilateral code. Therefore, if therapeutic fracture of nasal turbinates is performed bilaterally, modifier -50 should be appended. Bilateral Surgery (50) 1 = 150% payment adjustment for bilateral procedures applies.
The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:
The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.