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Balloon dilation of sinus CPT 31297


Best answers
I've been asked to find out if CPT 31297 is billable from the office setting, place of service 11. One of the threads here indicated that a physician was billing and being paid for this procedure from an office setting, but the 2012 Procedural Coding Expert lists the code with a "G2" box, which states "non-office based surgical procedure........."

I don't code ENT so any help would be enormously appreciated!

Have a blessed day!


Cary, NC
Best answers
We have been billing the 31295,31296,31297 balloon sinuplasty codes in office with place of service 11 for about 3 months or so, and we have been receiving payment. I don't know anything about a "G2" box as we don't use the Procedural Coding Expert as a resource in our department, but we did check with our payors before billing in office and they advised they would pay these when done in office.