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Nose bleed

  1. #1
    Williamsport, PA
    Default Nose bleed
    Medical Coding Books
    The patient presents with a complaint of epistaxis, but has not had any bleeding for five days. The doctor does a nasal endoscopy, removes a crust, and cauterizes a small area with silver nitrate. Can I bill 31238? Or just 31231?


  2. Default
    I would use code 30901 (Control nasal hemorrhage, anterior, simple(limited cautery and/or packing) any method).

    The reason I would use this code is that it captures the cautery and the method which is the endoscopy.
    Also, the reason why I would not use code 31231 is because this is diagnostic only and does not include the cautery, nor would I use 31238 because this code reflects electrocautery which is different from using silver nitrate(Chemical cautery).

    Hope this helps...
    Last edited by TonyaMichelle; 11-28-2011 at 11:19 AM.

  3. #3
    Williamsport, PA
    Thank you!

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