(These are my opinions and should not be construed as being the final authority. Other opinions may vary.)
This is what I posted yesterday:
I am presently being cross-trained for ENT coding at my workplace (ASC billing company). Just today we went over nasal procedures where a balloon is used. We are directed to use the regular code and to add code S2344 - "Nasal/sinus endoscopy, surgical; with enlargement of sinus ostium opening using inflatable device (i.e., balloon sinuplasty)". Of course, do your own research, but this may be a good place to start.
Here is new information today (still do research):
Use code S2344 (only) when you are just doing the dilation with the balloon and no tissue is removed (but for Medicare use an unlisted code). If tissue is removed, just bill the regular code.
So, tissue removal is the key.
Richard Mann, your pain management coder
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