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30520 or 30465

  1. Default 30520 or 30465
    Medical Coding Books
    Hello ENT coders,

    Doctor states in OP note procedure "nasal septoplasty" with deviated septum and acquired deformity.

    The septum has been buckled in its mid-portion to the left, causing near complete obstruction on that side. Also a little decompression of the left upper lateral cartiage.

    Op note states:

    "The fracture line went from high posterior to more caudally inferiorly. A wedge of cartilage ws removed from this region, leaving an intact nasal dorsal strut. From this cartilage, a small spreader graft was fashioned. The muscoperichondrium on the left hand side, a Woodson elevator was run along the junction of the septum and the upper lateral cartilage and then a 15 blade. A space between this area was wedged open slightly and cartilage was interposed.

    A few small darts were then made to accommodate small areas of deflection"

    Would this be 30465-52 and bundle 30520?

    Thanks for any input!

  2. Default
    Hello.....Unfortunately, 30520 is considered part and parsal to 30465, but the good news is you can bill 20912, cartilage graft - septum to nose; you can bill the following:

    Dx: 478.19, 470

    Because you are only doing a unilateral procedure regarding the spreader graft and 30465 is considered bilateral, you need to modify w/52.

    Should you have any additional questions, don't hesitate to ask..

    CT ENT

  3. Default
    Thanks Jennifer...That is what I looking at!

  4. #4
    I beleive CCI removed that bundling edit in 07/09
    Peggy Mrohen

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