Question CPT for biopsy, adenoidectomy and antrostomy

wynonna

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Hinsdale, MA
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Hello, I'm looking for the CPT surgery code for "endoscopic nasopharyngeal biopsy and adenoidectomy, endoscopic bilateral maxillary antrostomy"
All 3 procedures were done in OR together.
thank you
 

lexvcarter

Networker
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Atlanta, GA
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  • 31237 - endoscopic nasopharyngeal biopsy
  • 31256 - endoscopic bilateral maxillary antrostomy (Append modifier 50 or RT/LT, depending on payer preference, if the provider performs the procedure bilaterally.)
  • For the adenoidectomy

Screen Shot 2020-12-19 at 3.42.37 PM.png
 

lexvcarter

Networker
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Atlanta, GA
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Also,

"A biopsy performed in conjunction with a more extensive nasal/sinus procedure is not separately reportable Revision Date (Medicare): 1/1/2020 V-5 unless the biopsy is examined pathologically prior to the more extensive procedure and the decision to proceed with the more extensive procedure is based on the result of the pathologic examination."

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