Results 1 to 3 of 3

2nd request????

  1. Default 2nd request????
    Medical Coding Books
    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
    Milwaukee WI
    Default No endoscopy
    NOT my area of expertise, BUT ...

    31231 is for a diagnostic nasal endoscopy and is defined as a separate procedure. Since endoscopy was used as your approach, I do not believe you can code it along with the other codes.

    Please NOTE - as a rule CPT codes designated as separate procedure do NOT appear in the CCI edits, but they'll be denied as global nonetheless.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. Default
    You are right thanks!!!

Similar Threads

  1. 2nd Request...Please Help!!
    By Lisa A in forum Orthopaedics
    Replies: 0
    Last Post: 07-27-2012, 08:31 AM
  2. 2nd request dx help please?
    By BFAITHFUL in forum Diagnosis Coding
    Replies: 1
    Last Post: 02-10-2010, 07:29 AM
  3. 2nd Request
    By kibbit99 in forum Orthopaedics
    Replies: 0
    Last Post: 10-22-2009, 09:47 AM
  4. 2nd Request!! Please Help!!
    By Lisa A in forum Orthopaedics
    Replies: 1
    Last Post: 07-30-2009, 08:54 AM
  5. 2nd request - Arthroscopic SLAP
    By kdahlen in forum Orthopaedics
    Replies: 1
    Last Post: 05-18-2009, 03:45 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.