AAPC - Back to school
Results 1 to 3 of 3

Thread: 30140 or 30801

  1. #1
    Join Date
    Apr 2007

    Default 30140 or 30801

    AAPC: Back to School
    one coder says they use 30140-50 while other says 30801 ,not sure who is right, only becuase it states middleturbinate not inferior .
    Who would be right ?

    STOPERATIVE DIAGNOSES: Hypertrophied nasal turbinates with the left being greater than the right with chronic bilateral maxillary sinusitis, chronic bilateral ethmoid sinusitis, chronic bilateral frontal sinusitis, adhesion of the right middle turbinate to the lateral nose, adhesion of the left middle turbinate to the lateral nose with closure of the maxillary ostium, bilateral anterior and posterior ethmoid polyps and bilateral frontal recess polyps with obstruction, large left middle turbinate.
    OPERATION: Nasal turbinate cautery with bilateral maxillary antrostomy revision, bilateral ethmoid revision, bilateral frontal recess polypectomy using the image-guided system, turbinate reduction.

    was given adequate preoperative sedation and brought to the operating room where he was placed in a supine position and placed under general endotracheal anesthesia. He was draped in the usual fashion for surgery of the nose and sinuses using the image-guided system. internal nose was examined with a telescope. had inferior turbinate hypertrophy with the left side being greater than the right causing nasal obstruction. There was a polypoid tissue coming from the upper middle meatus bilaterally and extending into the posterior choana area of the nose, particularly on the left side. There were adhesions of the middle turbinates to the lateral nasal wall causing obstruction from the ostium which was opened in a previous surgery. The nasal septum and middle turbinates were injected with approximately 3 cc of 1:60,000 solution of epinephrine and saline. Bovie and needle technique along with outfracture was utilized to reduce the inferior turbinates, which opened the nasal airway and afforded a view of the nasopharynx which was clear. The adhesions of the middle turbinates to the lateral nasal wall were transected beginning on the right side and the maxillary sinus natural ostium was identified and opened widely. Polypoid tissue was removed there. The ethmoid area had polypoid disease which was removed in the anterior ethmoid superiorly and in the posterior ethmoid as well.

    There was polypoid tissue in the frontal recess which was removed until the frontal sinus was opened. On the left side, the same thing was encountered, an adhesion of the middle turbinate to the lateral nasal wall, which was lysed. The middle turbinate was retracted medially, and the maxillary natural ostium was opened by removing the polypoid debris and the anterior and posterior ethmoids cells had a very dense bone which was traversed manually and this allowed removal of polypoid tissue throughout the ethmoid. The frontal recess had polyps and they were removed opening the frontal sinus as well on the left side. During this portion of the procedure, the surgical navigation system was utilized. With this done, the procedure was terminated after a silastic wafer was placed lateral to the middle turbinate bilaterally. Some FloSeal was placed in the ethmoid sinus bilaterally to prevent oozing, and no packing was then required. He was awakened, extubated, and taken to the recovery room in good condition.

    _____________________________________ ______________

  2. #2
    Join Date
    Apr 2007


    does anyone see the inferior turbinates in this report ?
    Last edited by codedog; 01-10-2011 at 08:26 PM.

  3. #3


    Yep, "Bovie and needle technique along with outfracture was utilized to reduce the inferior turbinates" etc... my suggestion, as both cautery and outfracture was used is to utilize 30140 with mod. 52 and 50 as per CPT guidelines for "turbinate reduction".......

    CT ENT

Similar Threads

  1. 30801 bundled to 31240
    By ljones88 in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 11-09-2015, 04:27 PM
  2. 30140 and 31255
    By kdm in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 08-31-2009, 11:01 AM
  3. 30801 or 30901
    By CDOWNING in forum Family Practice
    Replies: 2
    Last Post: 07-01-2009, 01:29 PM
  4. 30801 included in 30520??
    By philnamba in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 12-16-2008, 01:30 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.