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Wiki internal and external nasal valve repair

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freespririt0806

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Hi
i am wondering if we can code 30465 x2 for internal and external nasal valve repair with a cartilage graft for the external and a rib graft for the internal

TIA
 
I do not think so, Tiaralady, but you could use the 22 modifier for increased service. Also keep in mind that 30465 is a bilateral procedure, so if it is done on only one side, you need to code it with a 52 modifier.

Here is the clinical responsibility from Codify:
Clinical Responsibility
The physician incises the skin and the upper lateral cartilage of the nose. Then the physician performs an excision of the scar tissue and an osteotomy of the medial aspect of the nasal bone is performed. A composite graft is harvested from the auricle and fitted into the area of defect and then the incision is closed for healing. Several other surgical techniques can be used depending upon the condition. Techniques that are used are relocation and excision of reductant tissue (e.g., nasal caudal deviation, enlarge columella, and projected lateral alar crus), resection of scar tissue and replacement by a full thickness skin graft (e.g., cartilaginous malformation), replacement by local flaps, or by transplant of free cartilage, skin, or a graft (due to a shortage of skin/cartilage).
 
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