Wiki Septectomy - I need some help from a seasoned

[blonde01]

I need some help from a seasoned Otolaryngologist coder. PLEASE!!

My provider performed a septectomy with removal of a portion of the midline hard palate with the microdebrider drill and then removal of septum all the way up to the skull base where a midline portion of the anterior skull base/anterior cranial fossa was excised. This was performed via transnasal endoscope for septal malignancy.

He is coding 61600 and 30520. I know that 61600 is incorrect, but I just cannot find ANY guidance with how to code a septectomy like this. Please HELP!

 

[gbaynham]

Septectomy

I have the same procedure today & physician is calling me from the OR for a CPT code. He says this is definately not a septoplasty. He basically removed everything inside the nose, no septum left - diagnosis is cancer. Will this have to be unlisted 30999? There should be a CPT code for this. Any help appreciated.
Thanks,
Grace Baynham

 

[blonde01]

Looks like we might be looking at an unlisted procedure. I wish we had more guidance.