Wiki Concha Bullosa resection with Ethmoidectomy

[bethh05]

All the reading I have done states not to bill the removal of the middle turbinate when Ethmoidectomy (partial or total) is performed. The physician states he performs 31254 and 31240. I checked and cannot find any CCI edits for these 2 codes being bundled, but the definition of Concha Bullosa is an abnormal pneumatization of the middle turbinate? Can anyone explain this, and should 31240 be billed? Thank You very much for any advice.

 

[mbort]

Section Notes - 31237-31240 Nasal Endoscopy, Surgical - (31237-31240)
Nasal Endoscopy, Surgical

INCLUDES: diagnostic nasal/sinus endoscopy

sinusotomy, when applicable

EXCLUDES: endoscopic frontal sinus exploration, osteomeatal complex (OMC) resection and/or anterior ethmoidectomy, with antrostomy, with/without polyp removal, report all: (31254, 31256, 31276)
endoscopic frontal sinus exploration, osteomeatal complex (OMC) resection and/or anterior ethmoidectomy, with/without polyp removal, report both: (31254, 31276)
endoscopic frontal sinus exploration, osteomeatal complex (OMC) resection, antrostomy, removal of antral mucosal disease and/or anterior ethmoidectomy, with/without polyp removal, report all: (31254, 31267, 31276)
endoscopic osteomeatal complex (OMC) resection with antrostomy and/or anterior ethmoidectomy, with/without polyp removal, report both: (31254, 31256)
endoscopic osteomeatal complex (OMC) resection with antrostomy, removal of antral mucosal disease, and/or anterior ethmoidectomy, with/without polyp removal, report both: (31254, 31267)