AAPC - Back to school
Results 1 to 3 of 3

Thread: ORNSF and Septoplasty

  1. #1
    Join Date
    Apr 2007

    Default ORNSF and Septoplasty

    AAPC: Back to School
    My physician wants to bill 21335 and 30520 together. Per CCI edits these two procedures are allowed to be billed together. However, per the coding edit software with BCBS and Cigna there program bundles these two procedures.

    Any suggestions?

    Thank You

  2. #2


    I am a little late with my response, but CPT 21335 includes septal repair, you will find that most carriers will not pay........there is a CCI edit and this would be considered "unbundling".


  3. #3
    Join Date
    Apr 2007
    amarillo texas


    21335-The physician makes an incision to treat a displaced nasal fracture and also repair the fractured nasal septum. Open treatment is necessary after unsatisfactory results with closed manipulation of the fractured bones and allows the physician to visualize the fractures. Lacerations overlying the fractures may allow direct visualization. Incisions may be made inside the nose to expose the nasal septum and portions of the nasal bones. Additionally, bicoronal and other local skin incisions may be used to expose the fractured nasal bones. The nasal septum is exposed and portions of the fractured cartilaginous and bony septum are removed. The physician realigns the nasal bones using nasal elevators and forceps. Transseptal sutures are placed to prevent formation of a septal hematoma. Intranasal incisions are closed in a single layer. Lacerations and other skin incisions are repaired with layered closure. After the bones are realigned, they remain slightly mobile and require additional stabilization with splints. External splinting may consist of a cast taped to the reduced nose. Internal splinting consists of supporting the nasal septum by splints or packing with gauze strips.

    30520 is bundled in 21335,,it should not be billed separately with 21335.

    MYadav, CPC

Similar Threads

  1. Septoplasty
    By ellabri@gmail.com in forum Plastic Surgery
    Replies: 0
    Last Post: 09-23-2015, 08:27 AM
  2. Septoplasty Etc
    By andie.zurbrick in forum ENT/Otolaryngology
    Replies: 3
    Last Post: 05-18-2014, 06:06 PM
  3. Balloon Septoplasty
    By ghovey in forum Outpatient Facilities
    Replies: 2
    Last Post: 05-16-2011, 06:47 AM
  4. septoplasty help
    By Jamie Dezenzo in forum ENT/Otolaryngology
    Replies: 0
    Last Post: 02-14-2011, 07:53 AM
  5. septoplasty help?
    By BFAITHFUL in forum Plastic Surgery
    Replies: 0
    Last Post: 09-13-2009, 07:21 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.