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Wiki Coding help

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samantharcpc@gmail.com

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Corbin, KY
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Can someone guide me with this surgery please?

Patient presented to the OP Surgery Department for a FESS under general anesthesia. Procedures included: Left frontal sinus endoscopy including exploration and removal of diseased tissue; Bilateral anterior & posterior ethmoidectomy; and, Bilateral maxillary antrostomy. Pathologic diagnosis: Chronic sinusitis involving the ethmoid sinus.

I billed 31255,31276,31265-50 but I got a denial stating missing a modifier
 
I would try (31276 - LT) for the frontal sinuses, (31255 - 50) for the ethmoid sinuses, and (31256 - 50) for the maxillary sinuses. Also update your DX codes to the specific sinuses...eg..(J32.1) chronic frontal sinusitis, (J32.2) chronic ethmoidal sinusitis, and (J32.0) chronic maxillary sinusitis. Hope this helps.
 
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