• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

Choanal atresia

gbaynham

Guest
Messages
14
Best answers
0
Any suggestions on billing for balloon dilation of choanal stenosis? This is going to a Medicaid carrier that doesn't accept unlisted. Trying to find the closest CPT to use.
"A O degree nasal endoscope was used to visualize the nasal cavity. The choana was stenotic. A 5.0 Acclarent balloon was seated properly in the choana. This was inflated to 10cm H20 and held for 90 seconds. This w as repeated." Guessing 30540, but should I add -52?
Suggestions?
Thanks
Grace Baynham, CPC
 
Last edited:

hewitt

Expert
Messages
390
Location
Manhattan, NY
Best answers
0
You might want to consider 31297. This is a new CPT since 2011, and was introduced because of this type of procedure.
 

mwatson@entsc.com

Contributor
Messages
10
Best answers
0
CPT 31297 is for balloon dilation of the sphenoid sinus, not for choanal stenosis. If your carrier really will not accept unlisted codes (really?) then 30540-52 would be your best bet.
 
Top