July 8, 2021

Question:
Are CPT 30140 (submucous resection inferior turbinate) and 31254 (endoscopic anterior ethmoidectomy) bundled with code 62165 (Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach)? I checked Medicare and there are no CCI edits so that seems that I can bill these codes together. The diagnosis code I billed was for the pituitary tumor. But when I did, the insurance company denied 30140 and 31254.

Answer:
These procedure codes are considered included in 62165 as part of the approach or gaining access to the pituitary tumor for removal when the only diagnosis is pituitary tumor.

*This response is based on the best information available as of 7/08/21.