How To Use CPT Code 30560

CPT 30560 describes the procedure for lysis intranasal synechia, which involves the removal of adhesions in the nose that obstruct the airflow. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 30560?

CPT 30560 is used to describe the procedure of lysis intranasal synechia, which involves the removal of adhesions in the nose that obstruct the airflow. These adhesions are formed due to the fusion of scar tissue, which can occur as a result of trauma or complications from nasal surgery. The provider uses an intranasal approach, meaning that surgical instruments are inserted through the nose to perform the procedure.

2. Official Description

The official description of CPT code 30560 is the following: ‘Lysis intranasal synechia; intranasal approach.’

3. Procedure

1. The patient is appropriately prepped and anesthetized for the procedure.
2. The provider uses a nasal decongestant to open the blocked nose.
3. Various techniques may be used to lysis the scar tissue, such as excision, cautery, or laser therapy.
4. After completing the procedure, the provider may place gauze packing and/or splints to control bleeding.

4. Qualifying circumstances

CPT 30560 is performed when a patient has nasal synechia, which are adhesions in the nose that obstruct the airflow. These adhesions may be a result of trauma or complications from nasal surgery. The procedure is performed using an intranasal approach, and the patient must meet the necessary criteria for anesthesia and preparation.

5. When to use CPT code 30560

CPT code 30560 should be used when a provider performs the lysis intranasal synechia procedure using an intranasal approach. It is important to ensure that the patient meets the qualifying circumstances for this procedure and that the appropriate documentation is available to support the claim.

6. Documentation requirements

To support a claim for CPT 30560, the provider must document the following information:

• Patient’s diagnosis of nasal synechia
• Details of the procedure, including the specific techniques used (excision, cautery, or laser therapy)
• Date of the procedure
• Start and end time of the procedure
• Any additional procedures performed, such as placement of gauze packing or splints
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 30560, ensure that the procedure is performed using an intranasal approach. It is important to follow the appropriate coding guidelines and ensure that the documentation supports the medical necessity of the procedure. Additionally, be aware of any specific billing requirements from insurance providers or payers.

8. Historical information

CPT 30560 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient undergoes lysis intranasal synechia using an intranasal approach to remove adhesions in the nose that are obstructing airflow.
2. A provider performs the lysis intranasal synechia procedure on a patient who developed adhesions in the nose after nasal surgery.
3. A patient with nasal synechia undergoes the lysis intranasal synechia procedure using cautery to remove the adhesions.
4. A provider uses laser therapy to perform lysis intranasal synechia on a patient with scar tissue adhesions in the nose.
5. A patient with nasal synechia undergoes the lysis intranasal synechia procedure, and gauze packing is placed to control bleeding after the procedure.
6. A provider performs lysis intranasal synechia on a patient who experienced trauma resulting in adhesions in the nose.
7. A patient with nasal synechia undergoes the lysis intranasal synechia procedure using an intranasal approach, and splints are placed after the procedure to aid in healing.
8. A provider performs the lysis intranasal synechia procedure on a patient who developed adhesions in the nose due to complications from nasal surgery.
9. A patient with nasal synechia undergoes the lysis intranasal synechia procedure using excision to remove the adhesions.
10. A provider uses cautery to perform lysis intranasal synechia on a patient with scar tissue adhesions in the nose.