Turbinectomy is a partial or complete resection of the inferior turbinate with or without the guidance of an endoscope. The microdebrider instrument is often used in this procedure in order to remove some of the soft tissue component, and the debrider can be used even in the more complex cases of bony hypertrophy.
CPT31231Nasal endoscopy, diagnostic; unilateral or bilateral (separate procedure)ICD-10 DiagnosisAll diagnoses1 more row
Definition. 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.
Turbinate surgery, or inferior turbinate reduction, is a procedure where the inferior nasal turbinates are examined and reduced in size to provide improved nasal airflow. Surgery is typically performed through the nostrils on both sides of the nose.
During nasal endoscopy, your healthcare provider inserts an endoscope (a thin, flexible tube with a light and camera) into your nose. This gives them a clear, inside view of your sinuses and nasal passages. Nasal endoscopy aids in diagnosing and treating a range of health conditions.
The key points to note are as follows: CPT 31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure), is the base code for this family of endoscopic surgeries. This base code is considered integral to the other endoscopic sinus surgeries.
What is Submucous Resection Inferior Turbinates: This is a surgery that decreases the size of the inferior turbinates. It is often combined with septoplasty to improve nasal breathing.
Indications for Septoplasty and/or SMR: A septoplasty is a surgical procedure to correct a deviated septum whereas a submucous resection (SMR) of the turbinates is a surgical procedure to remove excess tissue from enlarged turbinates (filters of the nose).
Turbinoplasty and turbinectomy are nose surgeries. They can make it easier for you to breathe. You may have one of these surgeries if the turbinates in your nose are too large and block the airways in your nose. You may have a drip pad under your nose to collect mucus and blood. Change it only when it bleeds through.
The turbinates help warm and moisten the air you breathe. In a turbinoplasty, the turbinates are reshaped. In a turbinectomy, some or all of them are cut out. Both surgeries are done through the nose.
The middle turbinate projects into the central nasal cavity and resides next to the nasal septum. It is attached to the lateral nasal wall posteriorly just above the inferior turbinate but behind the maxillary, or cheek, sinus.
Repairing or straightening a deviated septum and reducing enlarged turbinates is a common nasal surgery done under general anesthesia. A small incision is made inside the nose and the thin plate of cartilage and bone in the center of the nose is repaired.
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.
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.