Balloon dilation of sinus CPT 31297

jtb57chevy

Networker
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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!
 

dimmitta

Guru
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Cary, NC
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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.
 
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