July 2, 2015

Question:  

After bilateral endoscopic sinus surgery is completed, my doctor documents “the patient then underwent bilateral nasal sinal displacement therapy and all bloody secretions and mucoid secretions were clear.” He wants to bill 30210-50 (Displacement therapy (Proetz type)) in addition to the endoscopic sinus surgery codes. Is that acceptable?

Answer:

No. Irrigation of the operative field is included in the global surgical package of the primary procedure code(s) and not separately reported.