Cpt code for anterior ethmoidectomy. The choice of approach is determined .
Cpt code for anterior ethmoidectomy 1. CPT Code 31225 CPT 31225 describes a maxillectomy without orbital exenteration. Understand modifiers and avoid billing errors CPT code 61581 is for a craniofacial procedure accessing the anterior cranial fossa, involving complex surgical steps like ethmoidectomy and maxillectomy. May 15, 2015 · Similarly, the work of a frontal sinusotomy includes anterior ethmoidectomy (31254) because the surgeon must go through the anterior ethmoid cell to reach the frontal sinus. CPT code 31254 is a procedure code for nasal/sinus endoscopy with partial ethmoidectomy, used for medical documentation and reimbursement. CPT code 31255 is used for nasal/sinus endoscopy with total ethmoidectomy, a procedure involving the removal of sinus tissue. This includes assessing the extent of sinus disease through imaging studies and confirming that both anterior and posterior ethmoid sinuses are involved. CPT code 31254 is used when a healthcare provider performs a nasal/sinus endoscopy with partial ethmoidectomy to address specific sinus-related issues. When To Use CPT 31255 CPT code 31255 is utilized when a healthcare provider determines that a total ethmoidectomy is necessary following a thorough evaluation of the patient’s condition. CT-sinus Lund-Mackay score was collected at baseline and follow-up. If the physician doesn’t use an endoscope during anterior surgery, and instead opts for an open intranasal approach, code 31200 (Ethmoidectomy; intranasal, anterior). 3. I think your colleague is closer to being correct on this one. CPT code 31267 is employed for endoscopic anterior and posterior ethmoidectomy (APE) and maxillary antrostomy, with the removal of tissue from the maxillary sinus. Sep 25, 2022 · A Detailed Explanation of Code 31253: “Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed” Today we’ll examine CPT code 31253, specifically focusing on the appropriate use of modifiers associated with this surgical code, commonly employed in otorhinolaryngology Study with Quizlet and memorize flashcards containing terms like Anterior ethmoidectomy via intranasal approach. Summary The provider performs anterior and posterior ethmoidectomy (removal or excision of cells in the ethmoid bone or ethmoid sinus), generally performed if the anterior part and the posterior compartment of ethmoid sinus are involved with sinusitis. CPT code 31257 is a medical billing code used to describe a nasal/sinus endoscopy procedure that includes a total ethmoidectomy with a sphenoidotomy. Jan 1, 2000 · In addition, both 31267 and 31288 usually are secondary procedures accompanying ethmoid endoscopies (31254, nasal/sinus endoscopy, surgical; with ethmoidectomy, partial [anterior]; 31255, with ethmoidectomy, total [anterior and posterior]). What is CPT code 31253? CPT code 31253 represents a surgical procedure that combines nasal/sinus endoscopy with ethmoidectomy, specifically targeting the ethmoid air cells and the frontal sinus. Oct 25, 2021 · Learn how to code ethmoidectomy CPT 31201 with AI automation. The procedure is designed to alleviate symptoms associated with chronic sinusitis by removing obstructive or infected tissue. Jul 14, 2022 · A: Yes, but this would be quite rare. What is CPT code 31257? CPT code 31257 represents a surgical procedure that involves nasal/sinus endoscopy with total ethmoidectomy and sphenoidotomy. If only the anterior ethmoids were done, the operative note should indicate a partial ethmoidectomy. Ethmoidectomy: This procedure involves the removal of the ethmoid air cells and can be performed intranasally or extranasally, depending on the extent of the disease. , Endoscopic anterior and posterior (total) ethmoidectomy, left, with left maxillary antrostomy. Feb 18, 2014 · The procedure might need to be done again, which is what the revision is. Study with Quizlet and memorize flashcards containing terms like Anterior ethmoidectomy via intranasal approach. Aug 23, 2025 · Total (Anterior and Posterior) Ethmoidectomy (31238): Removal of both the anterior and posterior groups of ethmoid air cells. It bundles to 31255 but that procedure was only performed on the right side, so you can unbundle it. What is CPT code 31259? CPT code 31259 represents a comprehensive surgical procedure involving nasal/sinus endoscopy with total ethmoidectomy, which encompasses both anterior and posterior ethmoid air cells, as well as sphenoidotomy. (For endoscopic anterior and posterior ethmoidectomy [APE], antrostomy and removal of antral mucosal disease, with or without removal of polyp [s], use 31255 and 31267) ** (For endoscopic anterior and posterior ethmoidectomy [APE], and frontal sinus exploration, with or without removal of polyp [s], use 31255 and 31276) 1. CPT Code 31205 CPT 31205 describes a total extranasal ethmoidectomy. This procedure is typically indicated for patients suffering from chronic sinusitis or other conditions that obstruct sinus drainage. This procedure is designed to address chronic sinusitis, a condition characterized by prolonged inflammation and infection of the sinuses. Jan 10, 2018 · 2018 brings us new functional endoscopic sinus surgery codes (FESS) which bundle a total ethmoidectomy with both a frontal sinusotomy and a sphenoidotomy with and without removal of tissue. Jun 16, 2017 · The correct code to apply for this procedure is 31255 (Nasal/sinus endoscopy, surgical; with ethmoidectomy, total [anterior and posterior]) with modifier 50 (Bilateral procedure). CPT Code 31253 CPT 31253 describes a nasal/sinus endoscopy, surgical with ethmoidectomy, including total (anterior and posterior) exploration of the frontal sinus and removing tissue from the frontal sinus when performed. Below is a list summarizing the CPT codes for excision procedures on the accessory sinuses. This surgical procedure involves a combination of techniques, including lateral rhinotomy, ethmoidectomy, and sphenoidectomy, to effectively expose and treat conditions affecting the anterior cranial fossa. Determine whether the procedure that was performed was endoscopic vs. open. Note that CPT codes 31254- Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) or 31255- with ethmoidectomy, total (anterior and posterior), 31267- with removal of tissue from maxillary sinus, or 31288- with removal of tissue from the sphenoid sinus all require that a sinusostomy or ethmoidectomy be performed. Discover modifier 50 vs 51, 22 & their impact on billing. CPT Code 31230 1. com Expert, modifier LT (Left side) is added to the code. On initial review of these new codes and the instructions in the AMA CPT® code book, it is confusing as 1. What is CPT code 31201? CPT code 31201 represents the surgical procedure known as total ethmoidectomy, which is performed intranasally. The choice of approach is determined CPT code 61580 is for a craniofacial approach to the anterior cranial fossa, involving procedures like ethmoidectomy and sphenoidectomy without maxillectomy. This code should be employed when the procedure is performed in conjunction with other endoscopic sinus surgeries, provided that the primary focus remains on the anterior ethmoid cells. Feb 28, 2025 · Learn accurate FESS coding with CPT & ICD-10 codes, guidelines, and common diagnoses. Coding for functional endoscopic sinus surgery (FESS) presents several challenges, as correct code assignment is based not only on your ability to understand nasal anatomy, but also your understanding of what the provider actually performed during the surgery. CPT 61580 refers to a craniofacial approach to the anterior cranial fossa, specifically for accessing extradural lesions or defects at the skull base. A patient undergoes a bilateral frontal balloon dilation, bilateral maxillary FESS, total ethmoidectomy, and sphenoid FESS, along with bilateral ETBD. The code is the same, but the documentation must specify that a total ethmoidectomy was performed. 2018 CPT® also provides a new bundled code for a frontal and sphenoid endoscopic balloon dilation. , Endoscopic treatment of a nosebleed. Here’s a rundown of the different codes that can come into play when Summary Partial surgical anterior ethmoidectomy involves the removal of the uncinate process (infundibulotomy), opening of the bulla, and partial removal of the anterior ethmoid cells. CPT Code 31201 CPT 31201 describes total intranasal ethmoidectomy. This procedure involves the use of an endoscope to visually examine the nasal and sinus passages. Unlock the intricacies of endoscopic sinus surgery billing with our comprehensive guide that ensures accurate coding and maximized reimbursement. For drainage of infected mucous and removal of inflamed tissue confined to the anterior ethmoid cells, report 31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior). and more. Nov 1, 2011 · Because ethmoid sinuses are divided into anterior and posterior regions, CPT® has defined two separate codes for reporting these procedures. ___, ___ and more. What is CPT code 31205? CPT code 31205 represents a surgical procedure known as extranasal total ethmoidectomy. Jan 16, 2017 · A: Yes, though it is rare. Dec 21, 2021 · This is a really difficult case. This procedure involves the removal of diseased tissue from the ethmoid sinuses, which are a pair of paranasal sinuses located between the nasal cavity and the orbits of the eyes. The physician might also use an open intranasal approach during the procedure, which will change your coding choices. #1: You're correct, 31276 bundles to 31253, but I don't see a frontal sinus exploration documented, only a ethmoidectomy and sphenoidotomy, so I'd code 31257, and 31276 doesn't bundle to that. CPT 31200 refers to anterior ethmoidectomy, a surgical procedure performed intranasally to remove diseased contents from the anterior ethmoid sinus. Dec 2, 2008 · When coding and billing a total ethmoidectomy, you must document the entrance and work on both the anterior and posterior ethmoid sinuses in the body of the operative note. AI improves accuracy & compliance. The procedure statement documents "endoscopic anterior and posterior (total) ethmoidectomy," which provides guidance for code assignment. For clinical responsibility, terminology, tips and additional info start codify free trial. Aug 13, 2019 · Coding tip: This code includes the work of CPT 31255 (total ethmoidectomy) and CPT 31276 (frontal sinus exploration) when performed on the same side CPT 31257: Nasal/sinus endoscopy, surgical, with ethmoidectomy; total (anterior and posterior), including sphenoidotomy Jul 14, 2023 · Use CPT Code 31254 for endoscopy with partial ethmoidectomy of the anterior ethmoid sinus. Dec 16, 2024 · Don’t forget to pay attention to combo codes and descriptors. Avoid using it with codes 31253, 31255, 31257, or 0406T on the same side. CPT® does not include a code specifically for a revision. This procedure is performed to remove diseased tissue from the ethmoid sinuses, which are situated between the nasal cavity and the orbits of the eyes. If the physician doesn’t use an endoscope during anterior surgery, and instead opts for an open intranasal approach, code 31200 (Ethmoidectomy; intranasal, anterior), confirms Jones. According to Optum's EncoderPro. Your choices are either 31254 (Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial [anterior]) for a partial or 31255 (…with ethmoidectomy, total [anterior and posterior]) for a total ethmoidectomy. #2 . When endoscopic sinus procedures are performed, multiple codes and multiple modifier codes may be necessary to identify the procedures to each separate set of sinuses, that is, maxillary, frontal, sphenoid, and ethmoid sinuses. This scenario is applicable to both adult and pediatric (≥ 8 years of age) patients. How To Use CPT Code 31200 CPT 31200 refers to the procedure known as anterior ethmoidectomy, which is a surgical intervention performed intranasally to remove diseased contents from the anterior ethmoid sinus. During the procedure, the surgeon removes the ethmoid sinus cells (ethmoidectomy) and creates an opening in the sphenoid sinus (sphenoidotomy) to Feb 9, 2018 · 31259 - Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus ESS was performed according to local practice with anterior ethmoidectomy mandatory. May 6, 2005 · The otolaryngologist also performs a bilateral anterior ethmoidectomy and harvests an adipose tissue graft from the patient's right lower quadrant to replace the frontal sinus mucosa. Endoscopic introduction is included in any endoscopic procedure. CPT Code 31200 CPT 31200 describes an intranasal, anterior ethmoidectomy. kcxh60k08oiuv47yzeur8ndcidg7iquomkljftg