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Otolaryngology Coding Alert

Reader Question:

Nasal Button Insertion in the Office

Published on Thu Jul 14, 2011

Question: When an otolarynologist performs nasal septal button insertion in an office setting, what code should we code it with? Could you give me an insight on how to appropriately report this procedure?Washington SubscriberAnswer: No matter the place of service, a nasal septal button insertion is coded 30220 (Insertion, nasal septal prosthesis (button]). The Medicare fee schedule pays an additional 4.98 RVUs when this procedure is performed in the office to account for the supply items (3.72 RVUs in a facility and 8.70 RVUs in the office).
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