CPT^® 31259, Under Endoscopy Procedures on the Accessory Sinuses

The Current Procedural Terminology (CPT^®) code 31259 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy Procedures on the Accessory Sinuses.

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Summary

The provider performs a complete excision of the ethmoid air cells (anterior and posterior) and widens the opening of the sphenoid sinus cavity via surgical nasal/sinus endoscopy. The procedure is performed to treat chronic sinusitis.

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Bilateral and Unilateral

One of our providers is doing a unilateral sphenoidotomy (31288) and a bilateral ethmoidectomy (31255). Normally we would bill these out in the bundle code (31259) if both were bilateral. With one the... [ Read More ]

Billing 61782 with sinus surgeries

Hello, We always bill 61782 sterotactic computer assisted navigation with our sinus surgeries (could be combo of 31259, 31276, 31267..) Recently we have been receiving denials from BCBS stating this i... [ Read More ]

61782 and 31259

The way I finally got the codes to pass through the front edits was to add a 59 modifier to the 61782 which made no sense to me as it is an add on code and then a 51 modifier to the 31259. The claim w... [ Read More ]

61782 and 31259

[QUOTE="mentsa, post: 512475, member: 757532"] We are billing a claim that has 61782 and 31259 cpt codes with J32.0, J32.3 and J32.2 diagnosis codes. They will not go through the front edits of our so... [ Read More ]

61782 and 31259

We are billing a claim that has 61782 and 31259 cpt codes with J32.0, J32.3 and J32.2 diagnosis codes. They will not go through the front edits of our software stating "missing or invalid information.... [ Read More ]

CPT codes for ENT surgery

Tiaralady, you are missing the sphenoidotomy In order to optimize your RVUs you want to use the sphenoid/ethmoid code and code the frontal code alone when the three codes are performed. Since some ar... [ Read More ]

Mulitple procedures

[QUOTE="GinaRS520, post: 498700, member: 741011"] I use a combo code for: CPT 31255 and 31276 = CPT 31253 or CPT 31255 and 31288 = CPT 31259 I bill for CPT 31253 since it has a higher RVU (higher reim... [ Read More ]

Mulitple procedures

[QUOTE="mentsa, post: 498371, member: 757532"] Our physicians are billing for different procedures done on the same date of service at the same time. Examples of the cpt codes used are 30115, 31288, 3... [ Read More ]

Help with which code to bill for nasal scope

[QUOTE="zcometa, post: 432254, member: 223383"] [B]31231 vs 92511 vs 31237 vs 31575[/B] 31231 vs 92511 vs 31237 92511 only examines the nasopharynx (eustachian tubes, adenoids, choanae) simply: ba... [ Read More ]

31259---YES OR NO?

I see documentation of image guidance, so I would add 61782 Since the left included tissue removal, the combination code 31259 should be used, not 31257 for that side. And why are the total ethmoid a... [ Read More ]

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