Table of Contents
What is the CPT code for Propel sinus implant?
Report HCPCS Code J3490 for PROPEL.
What is the revenue code for J7401?
Mometasone furoate sinus implant, 10 micrograms
| Notice | HCPCS J7401 terminated on March 31, 2021. |
|---|---|
| HCPCS Action Effective Date | April 01, 2021 |
| HCPCS Code Added Date | October 01, 2019 |
| HCPCS Termination Date | March 31, 2021 |
| HCPCS Pricing Indicator Code | 51 = Drugs |
What is the correct CPT code to report the endoscopic placement of a drug eluting implant in the ethmoid sinus in conjunction with biopsy polypectomy or debridement?
To report endoscopic placement of a drug-eluting implant in the ethmoid sinus in conjunction with biopsy, polypectomy, or debridement, use CPT 31237.
What is the CPT code for nasal polypectomy?
30115 (Excision nasal polyp(s), extensive) 30117 (Excision or destruction [e.g., laser], intranasal lesion; internal approach)
What is CPT S1091?
HCPCS Code S1091 S1091 is a valid 2022 HCPCS code for Stent, non-coronary, temporary, with delivery system (propel) or just “Stent non-coronary propel” for short, used in Other medical items or services.
What is the difference between Sinuva and propel?
PROPEL is indicated for the ethmoid sinus; PROPEL Mini is indicated for the ethmoid and frontal sinuses; and PROPEL Contour is indicated for the frontal and maxillary sinuses. SINUVA is a non-surgical, corticosteroid-eluting implant for the treatment of nasal polyps in adult patients who have had ethmoid sinus surgery.
How do you bill Sinuva?
Billing the National Drug Code (NDC) When billing physician administered drugs with a J Code, payers may require the 11-digit NDC to be included on claims. The 11-digit billable NDC for SINUVA is 10599000301.
What is the CPT code for sinusotomy four sinuses unilateral?
Functional Endoscopic Sinus Surgery (FESS) Codes
| CPT Code | Descriptor | 2017 wRVU |
|---|---|---|
| 31276 | Nasal/sinus endoscopy, surgical; with frontal sinus exploration, including removal of tissue from frontal sinus, when performed | 8.84 |
| 31287 | Nasal/sinus endoscopy, surgical, with sphenoidotomy | 3.91 |
What is Hcpcs code A9587?
HCPCS Code Details – A9587
| HCPCS Level II Code Transportation Services Including Ambulance, Medical & Surgical Supplies Search | |
|---|---|
| HCPCS Code | A9587 |
| Description | Long description: Gallium ga-68, dotatate, diagnostic, 0.1 millicurie Short description: Gallium ga-68 |
| HCPCS Modifier1 | |
| HCPCS Pricing indicator | 57 – Other carrier priced |
What is Sinuva implant?
SINUVA Sinus Implant is a prescription steroid-releasing (mometasone furoate) implant indicated for the treatment of nasal polyps in patients 18 years or older who have had ethmoid sinus surgery.
What is a Propel implant?
The Propel implant works by opening the sinus airway. It is a small coiled device that works to hold the airway open following a surgical procedure. Once inserted, the Propel stent slowly releases a steroid mometasone to reduce inflammation during the healing process of sinus surgery.
What is the CPT code for Sinuva?
Coding for Sinuva™ Claims To report endoscopic placement of Sinuva™ in the ethmoid sinus in conjunction with biopsy, polypectomy or debridement, report CPT code 31237, nasal endoscopy, surgical, with biopsy, polypectomy or debridement (CPT® 2022).
Does Medicare cover Sinuva?
Do Medicare prescription drug plans cover Sinuva? No. In general, Medicare prescription drug plans (Part D) do not cover this drug.
What is the CPT code for inferior turbinate?
It is important that the documentation reflects inferior turbinate when procedure codes 30130 , 30140 are being performed. These codes can be reported separately with surgical procedures such as sphenoid, maxillary or frontal sinus procedures, and septoplasty .”
What is the CPT code for middle turbinectomy?
It has long been the position of the Academy that middle turbinectomy procedures CPT code 30999 are separate from procedures on the sphenoid, maxillary, or frontal sinus or the nasal septum. Resection of a concha bullosa 31240 is reported separately from all sinus and septal surgery.
What is the CPT code for endoscopic sinus surgery on turbinates?
There is only one endoscopic sinus code that involves procedures on the turbinates: 31240, concha bullosa resection. That code would only be used specifically to treat a concha bullosa, and not appropriate for a regular turbinate hypertrophy.
Do non-endoscopic procedures on the turbinates include endoscopic codes?
A: Yes, the non-endoscopic procedures on the turbinates do not bundles with the endoscopic codes. Documentation should be clear with the 2 different techniques used.