ljones88
Networker
Hi all,
I need clarification on the rules for billing 31237 during a FESS procedure....Here's the scenario:
Physician documents and bills:
-31276/50
-30140/50
-31255/50
-31256/50
-31287/50
-31237/50/59
Tissue is removed from sinus areas, but no polyps. Polyps occurred only in the nose and on the middle turbinate. Physician documents use of scope to remove the polyps but doesn't indicate any other tools used to remove the polyps from the nose and middle turbinate.
I'm stuck between appealing for 31237/50/59 or sending a corrected claim by billing 30115/50 (procedure was done in a hospital setting)
What are the rules for billing 31237 at the same time as a FESS.
I need clarification on the rules for billing 31237 during a FESS procedure....Here's the scenario:
Physician documents and bills:
-31276/50
-30140/50
-31255/50
-31256/50
-31287/50
-31237/50/59
Tissue is removed from sinus areas, but no polyps. Polyps occurred only in the nose and on the middle turbinate. Physician documents use of scope to remove the polyps but doesn't indicate any other tools used to remove the polyps from the nose and middle turbinate.
I'm stuck between appealing for 31237/50/59 or sending a corrected claim by billing 30115/50 (procedure was done in a hospital setting)
What are the rules for billing 31237 at the same time as a FESS.