Wiki 30901 question

[ljarvis7]

When you bill 30901 to control nasal hemorrhage in the ER, do you only use it when packing or cautery were done? Do you ever use it for the nasal clip applied? And if so do you know of any place this is documented. Thanks

Lee Marree Jarvis, CPC
lejarvis@hotmail.com

 

[RebeccaWoodward*]

The Coders Desk Reference...........

To control a less serious nosebleed in 30901, the physician applies electrical or chemical coagulation or packing materials to the anterior sections of the nose. Only limited electrical or chemical coagulation is used.

 

[91yaminik@gmail.com]

Epistaxis

If a nasal pack with silver nitrate then which cpt would apply?
For rhino rocket which cpt would apply?

 

[Shaik.Arafath]

silver nitrate - 30901

Rhino Rocket - 30903

 

[Cynthia Hughes]

nasal hemorrhage

When you bill 30901 to control nasal hemorrhage in the ER, do you only use it when packing or cautery were done? Do you ever use it for the nasal clip applied? And if so do you know of any place this is documented. Thanks

Lee Marree Jarvis, CPC
lejarvis@hotmail.com

The nasal clip is part of the E/M per CPT Assistant April 2012

Question:is the appropriate CPT code to report the control of epistaxis by way of a nasal clamp (clip)?
Answer: Placement of a nasal clamp (clip) is included in the appropriate level Evaluation and Management (E/M) code.

 

[mawest21]

Thank you for the information above. I have an additional question. Would the application of Tranexamic Acid (an anti-fibrinolytic agent) topically (using a Q-Tip for example) be billable under CPT 30901?

 

[arpdavis]

Does anyone have any references regarding whether CPT 30901 is reportable in cases where a patient has intermittent nosebleeds, but is not 'actively' bleeding when presenting and treated in the office. The provider identifies the source/site of the (intermittent) bleeding problem and performs chemical cautery. ("After applying topical 4% lidocaine/afrin silver nitrate was applied to the left anterior septum over the prominent vessels. There was no bleeding. The area was then touched up with saline to neutralize the chemical. The patient tolerated the procedure well. There were no complications.")