Wiki Global FESS

pclaybaugh

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Greetings,

I have been given the ENT clinic as an auditing responsibility. Please help me understand if certain separate procedures are part of the global package. The patient had a Functional Endoscopic Sinus Surgery and presents 1 week postop. The physician performs a nasal endoscopy to help remove crusting from all patent sinuses. My feeling is that this procedure should be included during the postop period. The diagnosis used is nasal congestion.
This procedure 31231 and 92511 appear to be used quite frequently and would like to get a better handle on when this can be billed.
Please opine.
Thanks!
 
Functional Endoscopic Sinus Surgery Codes (CPT codes 31231-31288 - except 31239) do not have a global period. (0 days per CMS). Post-op debridements are commonly performed after FESS and typically billed with CPT 31237. No modifier is required since FESS procedures do not have a global period.

View attachment Sinus Surgery Globals.pdf


Hope that helps!
 
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