Wiki Choanal atresia

gbaynham

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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
 
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You might want to consider 31297. This is a new CPT since 2011, and was introduced because of this type of procedure.
 
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