CPT^® 31090, Under Incision Procedures on the Accessory Sinuses

The Current Procedural Terminology (CPT^®) code 31090 as maintained by American Medical Association, is a medical procedural code under the range - Incision Procedures on the Accessory Sinuses.

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Summary

In this procedure, the provider approaches three or more paranasal sinuses, incises them, and removes their diseased contents. The provider can use this technique to treat sinusitis of any sinus.

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I agree with the last poster. CPT 31090 describes a sinusotomy, which by definition is an "incision of the sinus" (-otomy = incision). This describes is an open (non-endoscopic) procedure involving ... [ Read More ]

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Interestingly the RVU breakdown I have for the 31090 includes the use of an endoscope so i'm not completely sure. However must be 3 on a single side to be reported. It cannot be reported bilateral unl... [ Read More ]

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31090 - this description below is a general description of the procedure done from supercoder.com When the patient is appropriately prepped and anesthetized, [U]the provider chooses an appropriate ro... [ Read More ]

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Can anyone help me sort out the difference between 31090 and the endoscopic codes 31267,31267,31287. My provider is insisting I bill it 31090 versus the endoscopic. notes reflect endoscopy though. Is ... [ Read More ]

ENT coding help

CAn someone please help me! I need to some explanation on CPT codes 31090, 31070 versus 31276,31267,31287. My physician is telling me he is going to bill these more because he gets paid more. I tried ... [ Read More ]

Sinusotomy Documentation Question

The codes you want to use are definitely correct! Sounds like he did an endoscopic procedure. 31090 would be for an open approach...... [ Read More ]

Sinusotomy Documentation Question

Hi, I'm a little confused with the documentation requirements with 31090. We had a physician use a 0 degree endoscope to remove polyps and diseased tissue from the maxillary sinus and performed a tot... [ Read More ]

Nasal Endoscopy wtih sinusotomy

I would normally bill the operative report below as 31255,31256,31288,31276-50. Recently someone told me to bill as 31090, 31255, & 31256-50. I don't believe this is correct. When would the use of ... [ Read More ]

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