Is it proper to bill 31233 (approach) with CPT 31267 (Cyst removal)?


Local Chapter Officer
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The physician performed an antral puncture with removal of cyst from the left maxillary sinus. Attempts were unsuccessful through the nose. The canine fossa using a scalpel and a inch drill punch was performed through the anterior wall of the left maxillary sinus. This allowed the endoscope to be passed through the front of the sinus visualizing the maxillary sinus in front of it. A curved biting forcep was then passed through the nose into the sinus and under endoscopic guidance through the antral puncture the cyst was grasped and removed. Would it be proper to code as CPT 31267 and CPT 31233 with a 59 modifier?