AAPC - Back to school
Results 1 to 2 of 2

Thread: Balloon sinuplasty

  1. #1

    Default Balloon sinuplasty

    AAPC: Back to School
    Do you use codes 31256, 31276, and/or 31287 for balloon sinuplastys or do you use the unlisted procedure 31299. Acclarent is telling us that using the balloon is a technique and not a procedure so we would not use the unlisted procedure code. Thanks.

  2. #2
    Join Date
    Apr 2007


    First you need to find out if the payer or carrier has any guidelines on what code to use (many do). If so, you should follow those guidelines. If not, this is what I've found:
    1. CMS currently does not have a written directive on what CPT code to use for balloon sinuplasty.
    2. There is not an industry standard on what CPT code to use.
    3.AAO-HNS official position is that under specific circumstances certain current FESS codes can be used. See cohttp://www.entnet.org/Practice/Coding-for-Sinus-Balloon-Catheterization.cfm
    4. If you are billing the facility component HCPCS code for cathether C1726. Medicare payment indicator for this is "N1" which means it's a packaged item, no separate payment made.
    Hope this helps.
    Juanita Mendoza, CPC

Similar Threads

  1. Balloon Sinuplasty in office
    By evonp in forum ENT/Otolaryngology
    Replies: 3
    Last Post: 07-23-2015, 12:48 PM
  2. Balloon sinuplasty
    By cierra329 in forum ENT/Otolaryngology
    Replies: 0
    Last Post: 07-23-2015, 12:17 PM
  3. Balloon Sinuplasty Again
    By NESmith in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 07-25-2012, 11:45 AM
  4. balloon sinuplasty
    By njbrown in forum ENT/Otolaryngology
    Replies: 5
    Last Post: 10-20-2009, 01:08 PM
  5. Balloon Sinuplasty
    By jthweatt in forum ENT/Otolaryngology
    Replies: 5
    Last Post: 03-09-2009, 12:08 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.