CPT^® 31256, Under Endoscopy Procedures on the Accessory Sinuses

The Current Procedural Terminology (CPT^®) code 31256 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy Procedures on the Accessory Sinuses.

Additional/Related Information

Tabs

Summary

In this procedure, the provider inserts an endoscope into the nasal cavity. He then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 31256 ? Start a discussion here

FESSing up! I need FESS help. sinus surgery

I'm fairly new to sinus surgery coding for the orthopaedic hospital I work for and need assistance with documentation issues I have noticed on the following OR. We have a few ENT/sinus specialists who... [ Read More ]

30520

[QUOTE="mentsa, post: 502496, member: 757532"] We are billing for a 31256 50 51, 61782, 30140 50 51 and a 30520. The 30520 is kicking out on the front end edits stating "missing or invalid information... [ Read More ]

30520

We are billing for a 31256 50 51, 61782, 30140 50 51 and a 30520. The 30520 is kicking out on the front end edits stating "missing or invalid information." We tried sending it through with a 51 modifi... [ Read More ]

CPT 31256 vs 31267

31256 is correct, ). If tissue removal from the ostium occurs during the maxillary antrostomy, but it does not extend into the maxillary sinus, then you should stick with code 31256... [ Read More ]

CPT 31256 vs 31267

Coder is correct. Is mucosa was not removed from the sinus cavity, code 31256 should be reported.... [ Read More ]

CPT 31256 vs 31267

Provider op note: The middle turbinate was medialized. The uncinate process was removed with side-biting forceps. The maxillary sinus ostium was located, culture was taken and the maxillary sinus osti... [ Read More ]

CPT for biopsy, adenoidectomy and antrostomy

[LIST] [*]31237 - endoscopic nasopharyngeal biopsy [*]31256 - endoscopic bilateral maxillary antrostomy [I](Append modifier 50 or RT/LT, depending on payer preference, if the provider performs the pro... [ Read More ]

endoscopic nasopharyngeal biopsy with endoscopic maxillary antrostomy and adenoidectomy.

[HEADING=2]endoscopic nasopharyngeal biopsy with endoscopic maxillary antrostomy and adenoidectomy.[/HEADING] [LIST] [*]Hello [/LIST] Endoscopic nasopharyngeal biopsy with endoscopic maxillary antrost... [ Read More ]

endoscopic nasopharyngeal biopsy with endoscopic maxillary antrostomy and adenoidectomy.

Endoscopic nasopharyngeal biopsy with endoscopic maxillary antrostomy. So with no tissue removed from Maxillary sinuses, I find 31256. 42831 for adenoidectomy. What would the remaining code be for e... [ Read More ]

31020?

[QUOTE="b.cobuzzi, post: 475629, member: 12103"] I would need to read the rest of the operative note to comment on what you are looking for. I do not code from the ”surgeries performed” or from th... [ Read More ]

View All