Otolaryngology Coding Alert

2009 CCI Puts More Restrictions on Turbinate Procedure Codes

You might face denial next time you use 30801 and a FESS code. If you thought the CPT 2006 redefinition of 30801 made it safe to use when also coding a FESS procedure, the Correct Coding Initiative (CCI) has bad news for you. CCI's latest edits, effective Jan. 1, bundle turbinate "coblation" code 30801 (Cautery and/or ablation, mucosa of inferior turbinates, unilateral or bilateral, any method; superficial) into several codes, including 31200 (Ethmoidectomy; intranasal, anterior) and 31287 (Nasal/sinus endoscopy, surgical, with sphenoidotomy). Both 30801 and 30802 (Cautery and/or ablation, mucosa of inferior turbinates, unilateral or bilateral, any method; intramural) are bundled into 31231 (Nasal endoscopy, diagnostic, unilateral or bilateral [separate procedure]) and 31238 (Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage). Carriers, Doctors Wrangle Over 30801, 30802 The context: Private carriers have long tried to bundle 30801 and 30802 with functional endoscopic sinus surgery (FESS) codes such as 31235 (Nasal/sinus [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Otolaryngology Coding Alert

View All