Question closure of oral antral fistula w/flaps

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Need some help please. I am new to ENT coding and came across this procedure. I was looking at 30580 but it seems more work was done. Take a look at the attachment...
 

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b.cobuzzi

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I would code it 40899 ( Unlisted procedure, vestibule of mouth) and equate it to 42260 (Repair of nasolabial fistula). And he did a diagnostic endoscopy and controlled bleeding in the nose, You cannot bill 30903 and 31231. Only 30903 would be billed.
 
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