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Nasal Endoscopy surgical: w/polyps removal

  1. Smile Nasal Endoscopy surgical: w/polyps removal
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    How should I code the following: sinus endoscopy with anterior and posterior total ethmoidectomy with removal of polyps.

    I choose 31255. Should I also include 31256 for the polyp removal but a antrostomy was not performed or is the polyp removal included in 31255 since it is a total eithmodectomy?

    Your input is appreciated, Edna

  2. #2
    I would also code 31255 for the total ethmoidectomy and 31237 for the excision of the polyp.

  3. Default
    I agree with 31255 for ethmoid, total. But if you read the explanation of the surgical procedure 31255 it does say polyps may be excised during this total ethmoidectomy. I think this case depends on the coders interpertation of the op rept and explanation of the surgical procedure. Also too if the patient has a dx of nasal polyps from a previous exam.

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