cpt 31231, cpt code 31231, 31231 cpt code

CPT Code 31231 | Description, Procedure & Billing Guidelines (2022)

CPT code 31231 can examine the patient’s nasal cavity with an endoscope. It can be used for one or both sides of the nasal cavity.

1. What Is CPT Code 31231?

CPT 31231 covers a procedure in which a health provider inserts an endoscope device into the patient’s nasal cavity. The endoscope is inserted to assess structures on one or both sides of the nasal cavity.

2. Description

The CPT book defines CPT code 31231 as follows: “Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure).”

3. Procedure

The 31231 CPT code procedure starts with anesthetizing and prepping the patient before an endoscope is inserted into the patient’s nasal cavity.

The scope is extended along the nasal cavity floor and moved into the nasopharynx. Then, the nasopharynx is examined, and they move the scope between the inferior and middle turbinates.

Then, the endoscope is repositioned and moved into the olfactory cleft to see if polyps are present. Finally, they remove the endoscope.

She then carefully removes the scope. The procedure is easy to execute and does not require any incision.  She may perform the endoscopy on one or both sides.

4. Billing Guidelines

The 31231 CPT code procedure is easy to perform, and no incision is needed.

This procedure can be performed on both sides (bilateral).

CPT 31231 can only be billed as a separate procedure and may not be used if it is part of a related, more extensive procedure.

5. Resources

CPT Professional 2022

https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0554_coveragepositioncriteria_FESS_turbinectomy.pdf

https://www.aapc.com/blog/36103-36103/

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/MedQtrlyComp-Newsletter-ICN909220-TextOnly.pdf

https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/nasal-endoscopy

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