Yes, our facility has been billing these new codes for the sinuplasty procedures with great success. We have not been denied at all, since using them as of january. The hardest part is getting our commercial payers to determine a fair and reasonable reimbursement since it is a new code.
If your doctor is performing this procedure with the balloon, then these are the correct codes to use. If you are having trouble getting them paid, then you need to continue your appeals process as it is not experimental. These are valid codes in the cpt book listed as category 1 codes.
Most payers will pay these codes as long as medicare pays them, which they do. Usually payers deny the category 2 or category 3 codes, not category 1 codes.
Hope this helps
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