Coding, Classification & Reimbursement

NEW CPT-4 SINUS CODES

  • 1.  NEW CPT-4 SINUS CODES

    Posted 01-11-2018 09:41
    We are struggling to find a good resource for the new CPT code 31253-31259.  No one gives the scenario of what to do if all 4 sinuses are worked on.  we are trying to decide if we can code 31259, 31267 AND 31276 together.  We have found no NCCI edit for this code combo however there is also no edit for the combo of 31253 and 31259.  Anyone have a good resource?  I will take an educated opinion on the subject at this point too.  thanks for any help.

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    Meg Ashley
    Health Information Coder
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  • 2.  RE: NEW CPT-4 SINUS CODES

    Posted 01-12-2018 14:28
    The professional society for your ENT surgeon might provide some
    resources. I suggest checking their website, newsletters, etc. Some of
    the societies are quite proactive about providing coding guidance.