Wiki Choanal atresia

[gbaynham]

Any suggestions on billing for balloon dilation of choanal stenosis? This is going to a Medicaid carrier that doesn't accept unlisted. Trying to find the closest CPT to use.
"A O degree nasal endoscope was used to visualize the nasal cavity. The choana was stenotic. A 5.0 Acclarent balloon was seated properly in the choana. This was inflated to 10cm H20 and held for 90 seconds. This w as repeated." Guessing 30540, but should I add -52?
Suggestions?
Thanks
Grace Baynham, CPC

 

[hewitt]

You might want to consider 31297. This is a new CPT since 2011, and was introduced because of this type of procedure.

 

[mwatson@entsc.com]

CPT 31297 is for balloon dilation of the sphenoid sinus, not for choanal stenosis. If your carrier really will not accept unlisted codes (really?) then 30540-52 would be your best bet.