Nasal Endoscopy and Epistaxis Control

Question:

Can we charge a 31231 and a 30901, 30903, or 30905 if the scope is withdrawn and then the cautery is done?

Answer:

No.  CPT 31231 is a diagnostic procedure and includes the parenthetical statement “separate procedure.”  That means 31231 is included in a more definitive therapeutic/treatment procedure at the same operative session.  Report either CPT code 31231 or 30901 (or 30903 or 30905), but not both codes.

*This response is based on the best information available as of 05/28/20.

 
 
KZA - Otolaryngology (ENT) - Coding Coach
 
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