In desperate need of help with this one, would love some insight.
Conflicting information I guess is what led me to thinking 31259. According to the snippit below, he did a ethmoidectomy with sphenoidotomy. So the question is, does his note satisfy the remaining portion of the code description, which is
“With removal of sphenoid sinus tissue”? Reading his OP note below he took a specimen from the mucosa within the sphenoid sinus proper. According to the google search of “what is mucosa”- Mucosa it is a moist tissue that lines certain parts of the inside of your body. This came from medlineplus.gov. But reading further into the Op note he states “no biopsy was taken of the left sphenoid sinus, no specimen was taken of the right sphenoid sinus”…..but yet if I go to pathology (which I included below) it states “Labeled as "left sphenoid sinus" and consists of one piece of
pink-purple soft tissue”. Very interesting indeed.
![1593013273644.png 1593013273644.png](https://www.aapc.com/discuss/data/attachments/3/3755-0f11ce7265e40deca7fecf69f10bc201.jpg)
![4643 4643](https://www.aapc.com/discuss/data/attachments/3/3755-0f11ce7265e40deca7fecf69f10bc201.jpg)
FROM PATHOLOGY:
Labeled as "left sphenoid sinus" and consists of one piece of
pink-purple soft tissue measuring 1.0 x 0.8 x 0.3 cm. The specimen is
entirely submitted in a single cassette.
Conflicting information I guess is what led me to thinking 31259. According to the snippit below, he did a ethmoidectomy with sphenoidotomy. So the question is, does his note satisfy the remaining portion of the code description, which is
“With removal of sphenoid sinus tissue”? Reading his OP note below he took a specimen from the mucosa within the sphenoid sinus proper. According to the google search of “what is mucosa”- Mucosa it is a moist tissue that lines certain parts of the inside of your body. This came from medlineplus.gov. But reading further into the Op note he states “no biopsy was taken of the left sphenoid sinus, no specimen was taken of the right sphenoid sinus”…..but yet if I go to pathology (which I included below) it states “Labeled as "left sphenoid sinus" and consists of one piece of
pink-purple soft tissue”. Very interesting indeed.
![1593013273644.png 1593013273644.png](https://www.aapc.com/discuss/data/attachments/3/3755-0f11ce7265e40deca7fecf69f10bc201.jpg)
![4643 4643](https://www.aapc.com/discuss/data/attachments/3/3755-0f11ce7265e40deca7fecf69f10bc201.jpg)
FROM PATHOLOGY:
Labeled as "left sphenoid sinus" and consists of one piece of
pink-purple soft tissue measuring 1.0 x 0.8 x 0.3 cm. The specimen is
entirely submitted in a single cassette.