Wiki LEFT FRONTAL SINUSOTOMY WITH LEFT TOTAL ETHMOIDECTOMY AND RIGHT TOTAL ETHMOIDECTOMY

[CCANTER]

I am wanting to verify the correct way to report CPT codes for these procedures

Nasal endoscopy with left frontal sinusotomy
Nasal endoscopy with left anterior and posterior ethmoidectomy
Nasal endoscopy with right anterior and posterior ethmoidectomy

at first i thought just CPT code 31253, however now i am thinking i should do it this way
31253-LT and 31255-RT

thank you

 

[nsteinhauser]

You are correct with the total ethmoid and frontal on the left 31253 -LT and the lone total ethmoid on the right 31255 -RT. But there's an 'excludes' underneath the 31253 for the 31255 and an NCCI edit with a modifier allowed to break the edit, since it's happening on 2 different sides. So it would be 31253 -LT and 31255 -59-RT (or -RT-59 ... we see some payers wanting the -59 first and some want the laterality first.)
Hope this helps.