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Removal of nasal packing

  1. Wink Removal of nasal packing
    Medical Coding Books
    Nasal fracture.
    I need some assistance with this, the physician office when it was scheduled used CPT code 30905 but isn't this code for nasal hemorrhage specifically? If anyone has another idea, please let me know. I appreciate your time! I work at an ASC and this is for a commercial payer.

    Nasal fracture.

    Removal of nasal packing posterior required for nasal support.

    Under IV sedation, the Merocel packing was placed. It was carefully removed. The nose was suctioned. The cast had come off over the weekend at home.

    The nasal reduction was excellent. No further treatment was required. Cole was awakened and returned to recovery in satisfactory condition without complication.
    Last edited by smcbroom; 08-27-2008 at 11:30 AM.

  2. #2
    Default Removal of nasal packing
    If this service is the removal of the nasal packing placed during the performance of a treatment of a nasal bone fracture, the removal of the nasal packing is part of the 90-day global services as being part of the initial service. It follows the same principle as a suture removal, if your doctor placed the sutures they cannot bill for the removal. If your doctor put in the nasal packing, they cannot bill for the removal.

    The 30905 code is specifically for control of nasal hemmorhage (nose bleed) by cautery or placing of packing. This code is not for placing packing for nasal bone fracture treatment or the removal of that packing.

    Hope this helps.

  3. Default
    just to clarify something because I may be wrong...this wasn't a planned procedure since the cast on his nose came off over the weekend at home so would it still be considered as global billing and part of the primary procedure if it's the same physician? if not and I can bill for it as an ASC would you revert to an unlisted nasal code?


  4. #4
    Milwaukee WI
    Default Still global
    Whether this was planned or not, it is still global to the original procedure for treating the fracture.

    F Tessa Bartels, CPC

  5. #5
    Stuart Sailfish Chapter
    It is still part of the 90 day global.
    Candice Fenildo, CPC, CPMA, CPC-I, CPB, CENTC, CRHC, AAPC Fellow
    Director of Operations
    Ear, Nose and Throat Associates of South Florida, PA

    "Nothing is stronger than the heart of a volunteer"

  6. Default Nasal Packing Removal
    Patient initially had a Epistaxis and packing was placed in the ED. Now patient is in the office to have the packing removed by a provider outside of the ED. What is the code to capture the packing removal?

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