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Thread: balloon sinoplasty

  1. #1
    Join Date
    Apr 2007
    Provo, UT

    Red face balloon sinoplasty

    AAPC: Back to School
    Is anyone in Utah being paid for code 31299 balloon sinuplasty? We have a new doc who said the balloon is paying paid for on the East Coast.

  2. #2
    Join Date
    Apr 2007
    Stuart Sailfish Chapter


    Well here is an East Coast Girl, and I can tell you that it is a strugle and it takes ALOT of documentation and usually a second level appeal to get paid for a Balloon Sinuplasty.

    One of my DOCS is activelly working with the AAOHS-HNS. hopefully we will have resolution in 2011
    Candice Fenildo, CPC, CPMA, CPB, CENTC, CPC-I
    AAPC Chapter Association Board of Directors ( Chair)
    Region 6, Wisconsin, Minnesota, Illinois, Indiana, Michigan, Ohio

    "Nothing is stronger than the heart of a volunteer"

  3. #3
    Join Date
    Apr 2007
    Provo, UT



    Thanks for the info.

    #1 Rule for Coders

    Beware of docs who think they can code.!

  4. #4


    Good news is that in 2011 balloon sinuplasty has been assigned a code!

    Look at 31295, 31296 and 31297

    not sure what these will be reimbursing at though, as the device is very spendy!!!

  5. #5


    Here in the upper Midwest, after documentation, struggles, etc., we did get paid but the payer allowed a spectacular $102.

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