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Thread: 30520 or 30465

  1. #1

    Default 30520 or 30465

    AAPC: Back to School
    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. #2


    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. #3


    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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