Reporting Radiofrequency Ablation and Out-fracturing of Inferior Turbinates

Q. What are the appropriate codes to report when a physician performs a superficial radiofrequency ablation at the same session as out-fracturing both inferior turbinates?

A. You cannot report this procedure with CPT code 30930-Fracture nasal inferior turbinate(s), therapeutic, because of an existing National Correct Coding Initiative (NCCI) edit (often referred to as a code bundle). However, if an intramural radiofrequency ablation is performed, 30802-Cautery and/or ablation, mucosa of inferior turbinates, unilateral or bilateral, any method; intramural may be reported, appending the -59 modifier-distinct procedural service. Report each CPT code only once since the descriptor states each is a bilateral service. This guidance applies to Medicare and most carriers that apply NCCI edits to their payment policy; carriers may, however, vary in their application of NCCI and other code edits.

 

Approved May 2009

Find an ENT

More Options

Business of Medicine Workshops

Practice Management Workshops

Workshops held in cities nationwide will help otolaryngologists, their staff, and other healthcare professionals code correctly, learn risk reduction strategies, and organize business systems.

Learn More Learn more