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30140 submucous resection-vs-30802 ablation

  1. #1
    Default 30140 submucous resection-vs-30802 ablation
    Medical Coding Books
    I am confused on when to use these codes. My physician performed a septo and coblation of inferior turbinates. this is what is described in the op note. I billed 30520 and 30802. my problem is that the hospital is is wanting to use 30140 for the turbinates but the op noted does not say anything about resection. what is the difference between these two codes? am i to use 30140 when a septo is done?
    Anita Hudson, CPC
    Scott and White Bryan/College Station

  2. Default
    I have this same question---hopefully someone will clarify

  3. Default
    30802 Cautery and/ or ablation of mucosa of inferior turbinates-intramural
    - MD uses electrocautery or ablation to reduce inflammation or remove mucosa from inferior nasal turbinates

    30140 submucous resection of inferior turbinate, partial or complete-any method
    --MD removes part or the entire inferior nasal turbinate via submucosal incision. Full thickness incision made over anterior-inferior surface of turbinate deep to the bone. MD lifts mucoperiosteum and exposes the bony turb. Chisel or forceps remove portions of bony turb.
    Rachell Lindley, CPC
    Multispecialty Clinic Coding
    Internal Medicine
    General Surgery
    Family Medicine

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    DO NOT REPORT 30802 in conjunction with 30130 or 30140- CPT guide line (parenthetical notes) says.
    When a major procedure is performed , the minor procedures like cautery/ablation is not reported.

    Moreover, when submucus resection inferior turbinate partial or complete by any method WHEN done with Septoplasty, REPORT 30520, 30140-51 -52 .
    30140 ALSO MERITS FOR REDUCTION ( when it comes to reduction all turbinates belong to this category for modifier -52, and inferior turbinate is not an exemption)

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