Results 1 to 2 of 2

30801 included in 30520??

  1. #1
    Tulsa, OK
    Default 30801 included in 30520??
    Medical Coding Books
    We are getting a denial from Aetna showing that cautherization of the inner nose (30801) is included in the repair of nasal septum(30520)...can anyone give me any guidence? When I look up the two codes in my coder's desk reference, it does not say that we do the cautherization with the repair.
    Last edited by philnamba; 12-12-2008 at 01:39 PM.

  2. #2
    Salt Lake City
    Smile EvonP
    According to both CCI and Part B edits 30801 is not included in 30520.

    CPT/HCPCS to CCI Code Check
    Code / Description
    30520 REPAIR OF NASAL SEPTUM M Non-Facility RVU: 14.67
    No bundling issues exist
    30801 ABLATE INF TURBINATE, SUPERF M Non-Facility RVU: 5.42
    No bundling issues exist

    Unless Aetna is making their own coding edits and not following CCI/Part B edits ,these codes should not be bundled. I would definately appeal this...maybe call Aetna (or check your contract with them if you can) and ask what coding edits they are using because the industry standard edits (CCI/Part B edits) do not bundle these codes. Good luck!

Similar Threads

  1. 30801 bundled to 31240
    By ljones88 in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 11-09-2015, 04:27 PM
  2. 30465 and 30520
    By efuhrmann in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 01-27-2011, 11:16 AM
  3. 30140 or 30801
    By codedog in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 01-16-2011, 02:17 PM
  4. 30520 or 30465
    By Jamie Dezenzo in forum ENT/Otolaryngology
    Replies: 3
    Last Post: 11-13-2009, 10:23 AM
  5. 30801 or 30901
    By CDOWNING in forum Family Practice
    Replies: 2
    Last Post: 07-01-2009, 01:29 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.