Surgery

Surgery

February 1, 2024

Question:
What is the difference between CPT code 31267 vs 31256?

Answer:
CPT code 31267 (nasal/sinus endoscopy, surgical, with the removal of tissue from maxillary sinus) instead of code 31256 (nasal/sinus endoscopy, surgical, with maxillary antrostomy). For coders to report code 31267, the physician must remove ‘tissue’ (e.g., polyps, fungus ball, mucocele) within the maxillary sinus. The physician must remove the tissue from within the maxillary sinus and not around the opening (i.e., ostium), of the maxillary sinus.

*This response is based on the best information available as of 2/1/24.

 

 

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