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Thread: Procedure 61795

  1. #1
    Join Date
    Apr 2007
    Coastal Coders

    Default Procedure 61795

    AAPC: Back to School
    How many times can procedue 61795 be billed with codes:

    31276 50
    31255 50
    31256 50
    31289 50

    This is an add-on code but I'm not sure if we bill this out for each
    procedure, right and left, or just once???

    I cannot find any documentation concerning this. I assume it is billed once. The doctor believes the code should be billed 6 times. Thanks for the help...

  2. #2


    We bill only once.
    Rachell Lindley, CPC
    Multispecialty Clinic Coding
    Internal Medicine
    General Surgery
    Family Medicine

  3. #3
    Join Date
    Apr 2007
    North Carolina


    This was my thought, also. I don't have coding software...does anyone else have any input?

  4. #4

    Default Cpt 61795

    CPT 61795 is to be billed only once during endoscopic sinus surgery, regardless of how many sinus procedures are performed; if you check out the Academy of Otolaryngology website, they have recommendations on the use of this code. Note, this is an add on code and is not subject to the multiple procedure discount rule, we do get paid 100% of the allowed.

    ENT CT

  5. #5
    Join Date
    Apr 2007
    Coastal Coders

    Default 61795

    Thanks for the information. Just needed a little nudge toward the answer. The doctor thinks he is doing the procedure 6 times but now I have a good place to get written documentation concerning the procedure.

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