AAPC - Back to school
Results 1 to 3 of 3

Thread: ENT help - This one has be stumped

  1. #1

    Question ENT help - This one has be stumped

    AAPC: Back to School
    Hello all,

    This one has be stumped and wanted some thoughts.....

    Op note reads:
    Procedure Performed:
    1. Nasal endoscopy
    2. Outfracture of right inferior turbinate
    3. Biopsy x3 of naspharyngeal mass

    nasal endoscopy was performed. The right inferior turbinate was hypertrophic and causing some encroachment on the airway which would hamper biopsy. This was therefore outfx using a Boise elevator.

    We then used 18 gauge spinal needle to inject about 1cc of 1% Xylocaine with epinephrine into the nasal pharyngeal tissue. There was a lobulated mass just medial to the eustachian tube area and coming from Roseenmuller's fossa on the right side. This was asymmetrical and correlated with the increased PEF scan activity. After vasoconstriction, mulltiple biopsies of this were taken using a true-cutting forceps.

    Path came back (???)
    Collision tumor between nasopharyngeal carcinoma and extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT LYMPHOMA)

    31231 Endoscope, 30930 fracturing, and 42804 once since not different mass/or lesion
    DX 147.9, 200.31


  2. #2
    Join Date
    Apr 2007
    Baton Rouge


    Is this biopsy being performed via endoscope? That's what it looks like. If that is the case, it codes out to 42999 (Unlisted procedure, pharynx, adenoids, or tonsils).

    I would query the physician to find out for certain. But if it was endoscopic, the codes would be:

    Chastity Nault, CPC
    HIM Professional Services Coder - Remote

  3. #3


    thanks! Have a good weekend!

Similar Threads

  1. New to ENT.
    By daniel in forum ENT/Otolaryngology
    Replies: 4
    Last Post: 12-19-2012, 01:39 PM
  2. New to ENT
    By BETH BROWER in forum ENT/Otolaryngology
    Replies: 0
    Last Post: 03-15-2012, 03:00 PM
  3. New to ENT
    By jlb1121 in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 01-18-2011, 10:44 AM
  4. Ent
    By mlchambers in forum Billing/Reimbursement
    Replies: 0
    Last Post: 10-18-2010, 02:24 PM
  5. ENT help - Doc did 42820
    By Jamie Dezenzo in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 05-06-2010, 12:49 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.