AAPC - Back to school
Results 1 to 2 of 2

Thread: 31256 vs 31267 Endoscopic Max Antrostmy

  1. #1

    Default 31256 vs 31267 Endoscopic Max Antrostmy

    AAPC: Back to School
    The difference between these 2 codes is removal of tissue. Would suctioning of mucopurulence (or any other suctioning) be considered removal of tissue? Is the suctioning enough to warrant the 31267 or should the code be 31256 in these situations? The provider told me to bill 31267 but I wanted to see if anyone else has thoughts about this before I send it out.
    Sue Vermette, CPC

  2. #2


    Sucking out mucous does not qualify for tissue. Also opening up the antrum, as in an antrostomy (opening the maxillary sinus opening for drainage) is not removal of tissue, because that is what 31256 is. Removal of anything else, polyps in the maxillary sinus, any crusts, or mucousa (note the "a" at the end of that word) from inside the maxillary sinus qualifies for tissue, and thus 31267. I hope that helps.

    Barbara J. Cobuzzi, CPC, CENTC

Similar Threads

  1. 30140-50 30520 31237 or 31267? Tia
    By MELJNBBRB in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 03-26-2015, 02:50 PM
  2. cpt code 21385 & 31256
    By jocoffey in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 01-20-2015, 11:16 AM
  3. Clarification of 31256
    By bethh05 in forum Outpatient Facilities
    Replies: 1
    Last Post: 12-27-2010, 02:21 PM
  4. 31256 or 31267-polyp removal included?
    By 2618216km in forum ENT/Otolaryngology
    Replies: 3
    Last Post: 01-05-2010, 08:45 AM

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.