Endoscopic Control of Epistaxis

Endoscopic Control of Epistaxis

November 29, 2018

Question:
We use coding software to help us with modifiers, procedure descriptions, RVUs etc. In the description for 31238 it mentions electrical cautery or laser but we use silver nitrate.  Is this code appropriate to use with use of silver nitrate only?

Answer:
The official AMA CPT instructions do not specify what tool or substance is used for control of epistaxis.  CPT 31238 merely states there is “control of nasal hemorrhage” endoscopically.  The most important aspect of this code is that the endoscope is held parallel to the instrument/tool/substance being used for epistaxis control.

*This response is based on the best information available as of 11/29/18.