sjh procedures - ent service

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SJH Procedures - ENT Service New Name Old Name CPT Code Service ADENOIDECTOMY ADENOIDECTOMY 42830 Adenoidectomy, primary; younger than age 12 ENT 42831 Adenoidectomy, primary; age 12 or over ENT 42835 Adenoidectomy, secondary; younger than age 12 ENT 42836 Adenoidectomy, secondary; age 12 or over ENT ADENOIDECTOMY, WITH BILATERAL MYRINGOTOMY AND TYMPANOSTOMY TUBE INSERTION MYRINGOTOMY W TUBES W ADENOIDECTOMY BILATERAL 42830 Adenoidectomy, primary; younger than age 12 ENT 42831 Adenoidectomy, primary; age 12 or over ENT 42835 Adenoidectomy, secondary; younger than age 12 ENT 42836 Adenoidectomy, secondary; age 12 or over ENT 69433 Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ENT 69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia ENT ADENOIDECTOMY, WITH UNILATERAL MYRINGOTOMY AND TYMPANOSTOMY TUBE INSERTION MYRINGOTOMY W TUBES W ADENOIDECTOMY UNILATERAL 42830 Adenoidectomy, primary; younger than age 12 ENT 42831 Adenoidectomy, primary; age 12 or over ENT 69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia ENT ALVEOLOPLASTY, MAXILLA OR MANDIBLE ALVEOLOPLASTY MAXILLA/MANDIBLE 41874 Alveoloplasty, each quadrant (specify) Maxillofacial, ENT APPLICATION, GRAFT, SKIN, FULL-THICKNESS GRAFT SKIN FULL THICKNESS 15200 Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less Plastics, ENT 15201 Full thickness graft, free, including direct closure of donor site, trunk; each additional 20 sq cm, or part thereof (list separately in addition to code for primary procedure) Plastics, ENT 15220 Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Plastics, ENT 15221 Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm, or part thereof (list separately in addition to code for primary procedure) Plastics, ENT 15240 Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less Plastics, ENT 15241 Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (list separately in addition to code for primary procedure) Plastics, ENT 15260 Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less Plastics, ENT 15261 Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; each additional 20 sq cm, or part thereof (list separately in addition to code for primary procedure) Plastics, ENT APPLICATION, GRAFT, SKIN, SPLIT-THICKNESS GRAFT SKIN SPLIT THICKNESS 15100 Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050) Plastics, General, Vascular, ENT Page 1 of 25 * Indicates Inpatient only CPT Code/Procedure

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Page 1: SJH Procedures - ENT Service

SJH Procedures - ENT Service

New Name Old Name CPT Code Service

ADENOIDECTOMY ADENOIDECTOMY 42830 Adenoidectomy, primary; younger than age 12 ENT

42831 Adenoidectomy, primary; age 12 or over ENT

42835 Adenoidectomy, secondary; younger than age 12 ENT

42836 Adenoidectomy, secondary; age 12 or over ENT

ADENOIDECTOMY, WITH BILATERAL MYRINGOTOMY AND TYMPANOSTOMY TUBE INSERTION

MYRINGOTOMY W TUBES W ADENOIDECTOMY BILATERAL 42830 Adenoidectomy, primary; younger than age 12 ENT

42831 Adenoidectomy, primary; age 12 or over ENT

42835 Adenoidectomy, secondary; younger than age 12 ENT

42836 Adenoidectomy, secondary; age 12 or over ENT

69433 Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia

ENT

69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia

ENT

ADENOIDECTOMY, WITH UNILATERAL MYRINGOTOMY AND TYMPANOSTOMY TUBE INSERTION

MYRINGOTOMY W TUBES W ADENOIDECTOMY UNILATERAL 42830 Adenoidectomy, primary; younger than age 12 ENT

42831 Adenoidectomy, primary; age 12 or over ENT

69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia

ENT

ALVEOLOPLASTY, MAXILLA OR MANDIBLE ALVEOLOPLASTY MAXILLA/MANDIBLE 41874 Alveoloplasty, each quadrant (specify) Maxillofacial, ENT

APPLICATION, GRAFT, SKIN, FULL-THICKNESS GRAFT SKIN FULL THICKNESS 15200 Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less

Plastics, ENT

15201 Full thickness graft, free, including direct closure of donor site, trunk; each additional 20 sq cm, or part thereof (list separately in addition to code for primary procedure)

Plastics, ENT

15220 Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less

Plastics, ENT

15221 Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm, or part thereof (list separately in addition to code for primary procedure)

Plastics, ENT

15240 Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less

Plastics, ENT

15241 Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (list separately in addition to code for primary procedure)

Plastics, ENT

15260 Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less

Plastics, ENT

15261 Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; each additional 20 sq cm, or part thereof (list separately in addition to code for primary procedure)

Plastics, ENT

APPLICATION, GRAFT, SKIN, SPLIT-THICKNESS GRAFT SKIN SPLIT THICKNESS 15100 Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)

Plastics, General, Vascular, ENT

Page 1 of 25 * Indicates Inpatient only CPT Code/Procedure

Page 2: SJH Procedures - ENT Service

SJH Procedures - ENT Service

New Name Old Name CPT Code Service

APPLICATION, GRAFT, SKIN, SPLIT-THICKNESS GRAFT SKIN SPLIT THICKNESS 15101 Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Plastics, General, Vascular, ENT

15120 Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)

Plastics, General, Vascular, ENT

15121 Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition

Plastics, General, Vascular, ENT

BIOPSY OR EXCISION, LESION, FACE AND NECK EXCISION/BIOPSY (MASS/LESION/LIPOMA/CYST) FACE/NECK General, Gynecology, Plastics, ENT, Maxillofacial

BIOPSY OR EXCISION, LESION, FACE AND NECK, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE FACE/NECK 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion

General, Gynecology, Aesthetics, Urology, Maxillofacial, ENT, Thoracic, Vascular, Cardiovascular, Plastics, Orthopedics

11103 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (list separately in addition to code for primary procedure)

General, Gynecology, Aesthetics, Urology, Maxillofacial, ENT, Thoracic, Vascular, Cardiovascular, Plastics, Orthopedics

11104 Punch biopsy of skin (including simple closure, when performed); single lesion

General, Gynecology, Aesthetics, Urology, Maxillofacial, ENT, Thoracic, Vascular, Cardiovascular, Plastics, Orthopedics

11105 Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (list separately in addition to code for primary procedure)

General, Gynecology, Aesthetics, Urology, Maxillofacial, ENT, Thoracic, Vascular, Cardiovascular, Plastics, Orthopedics

11106 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion

General, Gynecology, Aesthetics, Urology, Maxillofacial, ENT, Thoracic, Vascular, Cardiovascular, Plastics, Orthopedics

11107 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (list separately in addition to code for primary procedure)

General, Gynecology, Aesthetics, Urology, Maxillofacial, ENT, Thoracic, Vascular, Cardiovascular, Plastics, Orthopedics

BIOPSY OR EXCISION, LESION, FACE AND NECK, USING CO2 LASER EXCISE/BIOPSY(MASS/LESION/LIPOMA/CYST) FACE/NECK W CO2 LASER 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion

General, Aesthetics, Cardiovascular, Colorectal, ENT, Maxillofacial, Plastics, Orthopedics, Spine, Thoracic, Urology, Vascular

Page 2 of 25 * Indicates Inpatient only CPT Code/Procedure

Page 3: SJH Procedures - ENT Service

SJH Procedures - ENT Service

New Name Old Name CPT Code Service

BIOPSY OR EXCISION, LESION, FACE AND NECK, USING CO2 LASER EXCISE/BIOPSY(MASS/LESION/LIPOMA/CYST) FACE/NECK W CO2 LASER 11104 Punch biopsy of skin (including simple closure, when performed); single lesion

General, Aesthetics, Cardiovascular, Colorectal, ENT, Maxillofacial, Plastics, Orthopedics, Spine, Thoracic, Urology, Vascular

11106 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion

General, Aesthetics, Cardiovascular, Colorectal, ENT, Maxillofacial, Plastics, Orthopedics, Spine, Thoracic, Urology, Vascular

17000 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion

General, Aesthetics, Cardiovascular, Colorectal, ENT, Maxillofacial, Plastics, Orthopedics, Spine, Thoracic, Urology, Vascular

BIOPSY OR EXCISION, LESION, LOWER BODY, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE LOWER BODY 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion

General, Gynecology, Orthopedics, Plastics, Urology, Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry

11103 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (list separately in addition to code for primary procedure)

General, Gynecology, Orthopedics, Plastics, Urology, Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry

11104 Punch biopsy of skin (including simple closure, when performed); single lesion

General, Gynecology, Orthopedics, Plastics, Urology, Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry

11105 Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (list separately in addition to code for primary procedure)

General, Gynecology, Orthopedics, Plastics, Urology, Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry

11106 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion

General, Gynecology, Orthopedics, Plastics, Urology, Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry

Page 3 of 25 * Indicates Inpatient only CPT Code/Procedure

Page 4: SJH Procedures - ENT Service

SJH Procedures - ENT Service

New Name Old Name CPT Code Service

BIOPSY OR EXCISION, LESION, LOWER BODY, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE LOWER BODY 11107 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (list separately in addition to code for primary procedure)

General, Gynecology, Orthopedics, Plastics, Urology, Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry

BIOPSY OR EXCISION, LESION, UPPER BODY EXCISION/BIOPSY ( MASS/LESION/LIPOMA/CYST) UPPER BODY General, Gynecology, Orthopedics, Plastics, ENT

BIOPSY OR EXCISION, LESION, UPPER BODY, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE UPPER BODY 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion

General, Gynecology, Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular

11103 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (list separately in addition to code for primary procedure)

General, Gynecology, Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular

11104 Punch biopsy of skin (including simple closure, when performed); single lesion

General, Gynecology, Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular

11105 Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (list separately in addition to code for primary procedure)

General, Gynecology, Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular

11106 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion

General, Gynecology, Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular

11107 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (list separately in addition to code for primary procedure)

General, Gynecology, Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular

BIOPSY OR EXCISION, LESION, UPPER BODY, USING CO2 LASER EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) UPPER BODY W CO2 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion

General, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Orthopedics, Plastics

Page 4 of 25 * Indicates Inpatient only CPT Code/Procedure

Page 5: SJH Procedures - ENT Service

SJH Procedures - ENT Service

New Name Old Name CPT Code Service

BIOPSY OR EXCISION, LESION, UPPER BODY, USING CO2 LASER EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) UPPER BODY W CO2 11104 Punch biopsy of skin (including simple closure, when performed); single lesion

General, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Orthopedics, Plastics

11106 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion

General, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Orthopedics, Plastics

17000 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion

General, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Orthopedics, Plastics

CANALOPLASTY, EAR CANALPLASTY 69310 Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure)

ENT

69320 Reconstruction external auditory canal for congenital atresia, single stage

ENT

69631 Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction

ENT

69632 Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration)

ENT

69633 Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [porp], total ossicular repl

ENT

69635 Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction

ENT

CLOSED REDUCTION, FRACTURE, NASAL BONE CLOSED REDUCTION FRACTURE NOSE 21315 Closed treatment of nasal bone fracture; without stabilization ENT

21320 Closed treatment of nasal bone fracture; with stabilization ENT

CLOSED REPAIR MANDIBULAR FRACTURE WITH INTERDENTAL FIXATION ENT

CLOSURE, WOUND, USING ROTATION FLAP GRAFT FLAP/CLOSURE/ROTATION 14000 Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less

Plastics, ENT

14001 Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm

Plastics, ENT

14020 Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less

Plastics, ENT

14021 Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm

Plastics, ENT

14040 Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less

Plastics, ENT

Page 5 of 25 * Indicates Inpatient only CPT Code/Procedure

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SJH Procedures - ENT Service

New Name Old Name CPT Code Service

CLOSURE, WOUND, USING ROTATION FLAP GRAFT FLAP/CLOSURE/ROTATION 14041 Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm

Plastics, ENT

14060 Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less

Plastics, ENT

14061 Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm

Plastics, ENT

14301 Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm

Plastics, ENT

14302 Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure)

Plastics, ENT

DILATION, EUSTACHIAN TUBE EUSTACHIAN TUBE DILATION 69799 Unlisted procedure, middle ear ENT

DISSECTION, NECK DISSECTION NECK *31365 Laryngectomy; total, with radical neck dissection ENT

*31368 Laryngectomy; subtotal supraglottic, with radical neck dissection

ENT

*31390 Pharyngolaryngectomy, with radical neck dissection; without reconstruction

ENT

*31395 Pharyngolaryngectomy, with radical neck dissection; with reconstruction

ENT

38720 Cervical lymphadenectomy (complete) ENT

*38724 Cervical lymphadenectomy (modified radical neck dissection) ENT

*42426 Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection

ENT

*60254 Thyroidectomy, total or subtotal for malignancy; with radical neck dissection

ENT

DRUG INDUCED SLEEP ENDOSCOPY ENT

ENDOSCOPY, NOSE ENDOSCOPY NASAL 31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)

ENT

31233 Nasal/sinus endoscopy, diagnostic with maxillary sinusoscopy (via inferior meatus or canine fossa puncture)

ENT

31235 Nasal/sinus endoscopy, diagnostic with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)

ENT

31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)

ENT

31238 Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage

ENT

31239 Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy ENT

31240 Nasal/sinus endoscopy, surgical; with concha bullosa resection ENT

*31241 Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery

ENT

31253 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed

ENT

31254 Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)

ENT

Page 6 of 25 * Indicates Inpatient only CPT Code/Procedure

Page 7: SJH Procedures - ENT Service

SJH Procedures - ENT Service

New Name Old Name CPT Code Service

ENDOSCOPY, NOSE ENDOSCOPY NASAL 31255 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)

ENT

31256 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; ENT

31257 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy

ENT

31259 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus

ENT

31267 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus

ENT

31276 Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed

ENT

31287 Nasal/sinus endoscopy, surgical, with sphenoidotomy; ENT

31288 Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus

ENT

*31290 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region

ENT

*31291 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region

ENT

31292 Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression

ENT

31293 Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression

ENT

31294 Nasal/sinus endoscopy, surgical; with optic nerve decompression

ENT

31295 Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa

ENT

31296 Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)

ENT

31297 Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)

ENT

31298 Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)

ENT

ENDOSCOPY, PARANASAL SINUS SINOSCOPY 31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)

ENT

31233 Nasal/sinus endoscopy, diagnostic with maxillary sinusoscopy (via inferior meatus or canine fossa puncture)

ENT

31235 Nasal/sinus endoscopy, diagnostic with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)

ENT

31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)

ENT

31238 Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage

ENT

31239 Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy ENT

31240 Nasal/sinus endoscopy, surgical; with concha bullosa resection ENT

31254 Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)

ENT

Page 7 of 25 * Indicates Inpatient only CPT Code/Procedure

Page 8: SJH Procedures - ENT Service

SJH Procedures - ENT Service

New Name Old Name CPT Code Service

ENDOSCOPY, PARANASAL SINUS SINOSCOPY 31255 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)

ENT

31256 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; ENT

31267 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus

ENT

31276 Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed

ENT

31287 Nasal/sinus endoscopy, surgical, with sphenoidotomy; ENT

31288 Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus

ENT

*31290 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region

ENT

*31291 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region

ENT

31292 Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression

ENT

31293 Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression

ENT

31295 Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa

ENT

31296 Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)

ENT

31297 Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)

ENT

EUSTACHIAN TUBOPLASTY EUSTACHIAN TUBOPLASTY 69420 Myringotomy including aspiration and/or eustachian tube inflation

ENT

69421 Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia

ENT

EXCISION, LESION OR MASS, EAR EXCISION LESION/MASS EAR 11310 Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less

ENT

11311 Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm

ENT

11312 Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm

ENT

11313 Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm

ENT

11440 Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less

ENT

11441 Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm

ENT

Page 8 of 25 * Indicates Inpatient only CPT Code/Procedure

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SJH Procedures - ENT Service

New Name Old Name CPT Code Service

EXCISION, LESION OR MASS, EAR EXCISION LESION/MASS EAR 11442 Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm

ENT

11443 Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm

ENT

11444 Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm

ENT

11446 Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm

ENT

11640 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less

ENT

11641 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm

ENT

11642 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm

ENT

11643 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm

ENT

11644 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm

ENT

11646 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm

ENT

69145 Excision soft tissue lesion, external auditory canal ENT

69540 Excision aural polyp ENT

69550 Excision aural glomus tumor; transcanal ENT

69552 Excision aural glomus tumor; transmastoid ENT

*69554 Excision aural glomus tumor; extended (extratemporal) ENT

EXCISION, MASS, SUBMANDIBULAR RESECTION SUBMANDIBULAR MASS 21040 Excision of benign tumor or cyst of mandible, by enucleation and/or curettage

ENT

EXCISION, PAROTID GLAND PAROTIDECTOMY 42410 Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection

ENT

42415 Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve

ENT

42420 Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve

ENT

42425 Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve

ENT

*42426 Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection

ENT

EXCISION, SUBMANDIBULAR GLAND EXCISION SUBMANDIBULAR GLAND 42440 Excision of submandibular (submaxillary) gland ENT

EXCISION, THYROGLOSSAL DUCT CYST EXCISION THYROGLOSSAL DUCT CYST 60280 Excision of thyroglossal duct cyst or sinus; ENT

60281 Excision of thyroglossal duct cyst or sinus; recurrent ENT

EXCISIONAL BIOPSY, LESION, OROPHARYNX EXCISION/BIOPSY (MASS/LESION/CYST) ORAL/ PHARYNGEAL 42800 Biopsy; oropharynx ENT, Maxillofacial

42808 Excision or destruction of lesion of pharynx, any method ENT, Maxillofacial

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New Name Old Name CPT Code Service

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS) FUNCTIONAL ENDOSCOPIC SINUS SURGERY 31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)

ENT

31238 Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage

ENT

31239 Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy ENT

31240 Nasal/sinus endoscopy, surgical; with concha bullosa resection ENT

*31241 Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery

ENT

31253 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed

ENT

31254 Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)

ENT

31255 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)

ENT

31256 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; ENT

31257 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy

ENT

31259 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus

ENT

31267 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus

ENT

31276 Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed

ENT

31287 Nasal/sinus endoscopy, surgical, with sphenoidotomy; ENT

31288 Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus

ENT

*31290 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region

ENT

*31291 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region

ENT

31292 Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression

ENT

31293 Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression

ENT

31294 Nasal/sinus endoscopy, surgical; with optic nerve decompression

ENT

31295 Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa

ENT

31296 Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)

ENT

31297 Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)

ENT

31298 Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)

ENT

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New Name Old Name CPT Code Service

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), USING COMPUTER-ASSISTED NAVIGATION

FUNCTIONAL ENDOSCOPIC SINUS SURGERY W NAVIGATOR 31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)

ENT

31238 Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage

ENT

31239 Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy ENT

31240 Nasal/sinus endoscopy, surgical; with concha bullosa resection ENT

*31241 Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery

ENT

31253 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed

ENT

31254 Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)

ENT

31255 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)

ENT

31256 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; ENT

31257 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy

ENT

31259 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus

ENT

31267 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus

ENT

31276 Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed

ENT

31287 Nasal/sinus endoscopy, surgical, with sphenoidotomy; ENT

31288 Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus

ENT

*31290 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region

ENT

*31291 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region

ENT

31292 Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression

ENT

31293 Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression

ENT

31294 Nasal/sinus endoscopy, surgical; with optic nerve decompression

ENT

31295 Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa

ENT

31296 Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)

ENT

31297 Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)

ENT

31298 Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)

ENT

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New Name Old Name CPT Code Service

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), USING COMPUTER-ASSISTED NAVIGATION

FUNCTIONAL ENDOSCOPIC SINUS SURGERY W NAVIGATOR 61782 Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)

ENT

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), USING COMPUTER-ASSISTED NAVIGATION, WITH NASAL TURBINATE REDUCTION

FUNCTIONAL ENDOSCOPIC SINUS SURGERY W TURBINATE REDUCTION W NAVIGATOR

31240 Nasal/sinus endoscopy, surgical; with concha bullosa resection ENT

61782 Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)

ENT

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), USING COMPUTER-ASSISTED NAVIGATION, WITH SEPTOPLASTY AND INFERIOR NASAL TURBINATE MICRODEBRIDEMENT

FUNCTIONAL ENDOSCOPIC SINUS SURGERY W TURBINATE W SEPTOPLASTY W NAVIGATOR

30130 Excision inferior turbinate, partial or complete, any method ENT

30140 Submucous resection inferior turbinate, partial or complete, any method

ENT

30520 Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft

ENT

30801 Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial

ENT

30802 Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)

ENT

31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)

ENT

31238 Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage

ENT

31239 Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy ENT

31240 Nasal/sinus endoscopy, surgical; with concha bullosa resection ENT

*31241 Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery

ENT

31253 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed

ENT

31254 Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)

ENT

31255 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)

ENT

31256 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; ENT

31257 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy

ENT

31259 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus

ENT

31267 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus

ENT

31276 Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed

ENT

31287 Nasal/sinus endoscopy, surgical, with sphenoidotomy; ENT

Page 12 of 25 * Indicates Inpatient only CPT Code/Procedure

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New Name Old Name CPT Code Service

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), USING COMPUTER-ASSISTED NAVIGATION, WITH SEPTOPLASTY AND INFERIOR NASAL TURBINATE MICRODEBRIDEMENT

FUNCTIONAL ENDOSCOPIC SINUS SURGERY W TURBINATE W SEPTOPLASTY W NAVIGATOR

31288 Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus

ENT

31292 Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression

ENT

31293 Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression

ENT

31294 Nasal/sinus endoscopy, surgical; with optic nerve decompression

ENT

31295 Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa

ENT

31296 Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)

ENT

31297 Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)

ENT

31298 Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)

ENT

61782 Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)

ENT

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), WITH BALLOON SINUPLASTY

FUNCTIONAL ENDOSCOPIC SINUS SURGERY BALLOON SINUPLASTY 31295 Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa

ENT

31296 Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)

ENT

31297 Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)

ENT

31298 Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)

ENT

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), WITH NASAL SEPTOPLASTY

FUNCTIONAL ENDOSCOPIC SINUS SURGERY W SEPTOPLASTY 30520 Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft

ENT

31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)

ENT

31238 Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage

ENT

31239 Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy ENT

31240 Nasal/sinus endoscopy, surgical; with concha bullosa resection ENT

*31241 Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery

ENT

31253 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed

ENT

31254 Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)

ENT

31255 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)

ENT

31256 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; ENT

Page 13 of 25 * Indicates Inpatient only CPT Code/Procedure

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New Name Old Name CPT Code Service

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), WITH NASAL SEPTOPLASTY

FUNCTIONAL ENDOSCOPIC SINUS SURGERY W SEPTOPLASTY 31257 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy

ENT

31259 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus

ENT

31267 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus

ENT

31276 Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed

ENT

31287 Nasal/sinus endoscopy, surgical, with sphenoidotomy; ENT

31288 Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus

ENT

*31290 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region

ENT

*31291 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region

ENT

31292 Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression

ENT

31293 Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression

ENT

31294 Nasal/sinus endoscopy, surgical; with optic nerve decompression

ENT

31295 Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa

ENT

31296 Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)

ENT

31297 Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)

ENT

31298 Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)

ENT

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), WITH NASAL SEPTOPLASTY AND TURBINATE REDUCTION

FUNCTIONAL ENDOSCOPIC SINUS SURGERY SEPTOPLASTY TURBINATE 30130 Excision inferior turbinate, partial or complete, any method ENT

30140 Submucous resection inferior turbinate, partial or complete, any method

ENT

30520 Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft

ENT

30801 Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial

ENT

30802 Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)

ENT

31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)

ENT

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), WITH NASAL SEPTOPLASTY, SINUPLASTY, AND NASAL TURBINATE REDUCTION

FUNCTIONAL ENDOSCOPIC SINUS SURGERY SEPTO-SINUPLASTY TURBINATE REDUCTION

30130 Excision inferior turbinate, partial or complete, any method ENT

Page 14 of 25 * Indicates Inpatient only CPT Code/Procedure

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New Name Old Name CPT Code Service

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), WITH NASAL SEPTOPLASTY, SINUPLASTY, AND NASAL TURBINATE REDUCTION

FUNCTIONAL ENDOSCOPIC SINUS SURGERY SEPTO-SINUPLASTY TURBINATE REDUCTION

30140 Submucous resection inferior turbinate, partial or complete, any method

ENT

30520 Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft

ENT

31295 Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa

ENT

31296 Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)

ENT

31297 Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)

ENT

31298 Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)

ENT

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), WITH NASAL TURBINATE REDUCTION

FUNCTIONAL ENDOSCOPIC SINUS SURGERY W TURBINATE 30130 Excision inferior turbinate, partial or complete, any method ENT

30140 Submucous resection inferior turbinate, partial or complete, any method

ENT

30801 Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial

ENT

30802 Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)

ENT

31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)

ENT

31238 Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage

ENT

31239 Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy ENT

31240 Nasal/sinus endoscopy, surgical; with concha bullosa resection ENT

*31241 Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery

ENT

31253 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed

ENT

31254 Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)

ENT

31255 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)

ENT

31256 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; ENT

31257 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy

ENT

31259 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus

ENT

31267 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus

ENT

Page 15 of 25 * Indicates Inpatient only CPT Code/Procedure

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New Name Old Name CPT Code Service

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), WITH NASAL TURBINATE REDUCTION

FUNCTIONAL ENDOSCOPIC SINUS SURGERY W TURBINATE 31276 Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed

ENT

31287 Nasal/sinus endoscopy, surgical, with sphenoidotomy; ENT

31288 Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus

ENT

31295 Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa

ENT

31296 Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)

ENT

31297 Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)

ENT

31298 Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)

ENT

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), WITH NASAL VALVE REPAIR

FUNCTIONAL ENDOSCOPIC SINUS SURGERY W NASAL VALVEPLASTY 31299 Unlisted procedure, accessory sinuses ENT

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), WITH RHINOSEPTOPLASTY

FUNCTIONAL ENDOSCOPIC SINUS SURGERY W SEPTORHINOPLASTY 30420 Rhinoplasty, primary; including major septal repair ENT

31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)

ENT

31238 Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage

ENT

31239 Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy ENT

31240 Nasal/sinus endoscopy, surgical; with concha bullosa resection ENT

*31241 Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery

ENT

31253 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed

ENT

31254 Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)

ENT

31255 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)

ENT

31256 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; ENT

31257 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy

ENT

31259 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus

ENT

31267 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus

ENT

31276 Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed

ENT

31287 Nasal/sinus endoscopy, surgical, with sphenoidotomy; ENT

31288 Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus

ENT

*31290 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region

ENT

Page 16 of 25 * Indicates Inpatient only CPT Code/Procedure

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New Name Old Name CPT Code Service

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), WITH RHINOSEPTOPLASTY

FUNCTIONAL ENDOSCOPIC SINUS SURGERY W SEPTORHINOPLASTY *31291 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region

ENT

31292 Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression

ENT

31293 Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression

ENT

31294 Nasal/sinus endoscopy, surgical; with optic nerve decompression

ENT

31295 Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa

ENT

31296 Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)

ENT

31297 Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)

ENT

31298 Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)

ENT

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), WITH SINUPLASTY AND NASAL TURBINATE REDUCTION

FUNCTIONAL ENDOSCOPIC SINUS SURGERY W SINUPLASTY W TURBINATE REDUCTION

30130 Excision inferior turbinate, partial or complete, any method ENT

30140 Submucous resection inferior turbinate, partial or complete, any method

ENT

31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)

ENT

31238 Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage

ENT

31239 Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy ENT

31240 Nasal/sinus endoscopy, surgical; with concha bullosa resection ENT

*31241 Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery

ENT

31253 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed

ENT

31254 Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)

ENT

31255 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)

ENT

31256 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; ENT

31257 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy

ENT

31259 Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus

ENT

31267 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus

ENT

31276 Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed

ENT

31287 Nasal/sinus endoscopy, surgical, with sphenoidotomy; ENT

Page 17 of 25 * Indicates Inpatient only CPT Code/Procedure

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New Name Old Name CPT Code Service

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS), WITH SINUPLASTY AND NASAL TURBINATE REDUCTION

FUNCTIONAL ENDOSCOPIC SINUS SURGERY W SINUPLASTY W TURBINATE REDUCTION

31288 Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus

ENT

*31290 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region

ENT

*31291 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region

ENT

31292 Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression

ENT

31293 Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression

ENT

31294 Nasal/sinus endoscopy, surgical; with optic nerve decompression

ENT

31295 Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa

ENT

31296 Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)

ENT

31297 Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)

ENT

31298 Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)

ENT

INJECTION, CIDOFOVIR INJECTION CIDOFOVIR 96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular

ENT

96373 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial

ENT

96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug

ENT

INSERTION,BONE ANCHORED HEARING AID ENT

INSERTION,PROSTHESIS,COCHLEAR ENT

INSERTION,STIMULATOR,UPPER AIRWAY ENT

KTP LASER General, ENT

LARYNGOSCOPY PANENDOSCOPY ENT 31505 Laryngoscopy, indirect; diagnostic (separate procedure) ENT

LARYNGOSCOPY 31505 Laryngoscopy, indirect; diagnostic (separate procedure) ENT

31510 Laryngoscopy, indirect; with biopsy ENT

PANENDOSCOPY ENT 31510 Laryngoscopy, indirect; with biopsy ENT

LARYNGOSCOPY 31511 Laryngoscopy, indirect; with removal of foreign body ENT

PANENDOSCOPY ENT 31511 Laryngoscopy, indirect; with removal of foreign body ENT

31512 Laryngoscopy, indirect; with removal of lesion ENT

LARYNGOSCOPY 31512 Laryngoscopy, indirect; with removal of lesion ENT

PANENDOSCOPY ENT 31513 Laryngoscopy, indirect; with vocal cord injection ENT

LARYNGOSCOPY 31513 Laryngoscopy, indirect; with vocal cord injection ENT

PANENDOSCOPY ENT 31515 Laryngoscopy direct, with or without tracheoscopy; for aspiration

ENT

LARYNGOSCOPY 31515 Laryngoscopy direct, with or without tracheoscopy; for aspiration

ENT

Page 18 of 25 * Indicates Inpatient only CPT Code/Procedure

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New Name Old Name CPT Code Service

LARYNGOSCOPY LARYNGOSCOPY 31520 Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn

ENT

PANENDOSCOPY ENT 31520 Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn

ENT

LARYNGOSCOPY 31525 Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn

ENT

PANENDOSCOPY ENT 31525 Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn

ENT

31526 Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope

ENT

LARYNGOSCOPY 31526 Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope

ENT

PANENDOSCOPY ENT 31527 Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator

ENT

LARYNGOSCOPY 31527 Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator

ENT

PANENDOSCOPY ENT 31528 Laryngoscopy direct, with or without tracheoscopy; with dilation, initial

ENT

LARYNGOSCOPY 31528 Laryngoscopy direct, with or without tracheoscopy; with dilation, initial

ENT

31529 Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent

ENT

PANENDOSCOPY ENT 31529 Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent

ENT

LARYNGOSCOPY 31530 Laryngoscopy, direct, operative, with foreign body removal; ENT

PANENDOSCOPY ENT 31530 Laryngoscopy, direct, operative, with foreign body removal; ENT

LARYNGOSCOPY 31531 Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope

ENT

PANENDOSCOPY ENT 31531 Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope

ENT

LARYNGOSCOPY 31535 Laryngoscopy, direct, operative, with biopsy; ENT

PANENDOSCOPY ENT 31535 Laryngoscopy, direct, operative, with biopsy; ENT

31536 Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope

ENT

LARYNGOSCOPY 31536 Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope

ENT

31540 Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis;

ENT

PANENDOSCOPY ENT 31540 Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis;

ENT

31541 Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope

ENT

LARYNGOSCOPY 31541 Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope

ENT

Page 19 of 25 * Indicates Inpatient only CPT Code/Procedure

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New Name Old Name CPT Code Service

LARYNGOSCOPY PANENDOSCOPY ENT 31545 Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)

ENT

LARYNGOSCOPY 31545 Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)

ENT

31546 Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with graft(s) (includes obtaining autograft)

ENT

PANENDOSCOPY ENT 31546 Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with graft(s) (includes obtaining autograft)

ENT

31560 Laryngoscopy, direct, operative, with arytenoidectomy; ENT

LARYNGOSCOPY 31560 Laryngoscopy, direct, operative, with arytenoidectomy; ENT

31561 Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope

ENT

PANENDOSCOPY ENT 31561 Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope

ENT

31570 Laryngoscopy, direct, with injection into vocal cord(s), therapeutic;

ENT

LARYNGOSCOPY 31570 Laryngoscopy, direct, with injection into vocal cord(s), therapeutic;

ENT

31571 Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope

ENT

PANENDOSCOPY ENT 31571 Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope

ENT

LARYNGOSCOPY 31572 Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral

ENT

PANENDOSCOPY ENT 31572 Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral

ENT

LARYNGOSCOPY 31573 Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral

ENT

PANENDOSCOPY ENT 31573 Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral

ENT

31574 Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral

ENT

LARYNGOSCOPY 31574 Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral

ENT

31575 Laryngoscopy, flexible; diagnostic ENT

PANENDOSCOPY ENT 31575 Laryngoscopy, flexible; diagnostic ENT

31576 Laryngoscopy, flexible; with biopsy(ies) ENT

LARYNGOSCOPY 31576 Laryngoscopy, flexible; with biopsy(ies) ENT

PANENDOSCOPY ENT 31577 Laryngoscopy, flexible; with removal of foreign body(s) ENT

Page 20 of 25 * Indicates Inpatient only CPT Code/Procedure

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New Name Old Name CPT Code Service

LARYNGOSCOPY LARYNGOSCOPY 31577 Laryngoscopy, flexible; with removal of foreign body(s) ENT

PANENDOSCOPY ENT 31578 Laryngoscopy, flexible; with removal of lesion(s), non-laser ENT

LARYNGOSCOPY 31578 Laryngoscopy, flexible; with removal of lesion(s), non-laser ENT

PANENDOSCOPY ENT 31579 Laryngoscopy, flexible or rigid telescopic, with stroboscopy ENT

LARYNGOSCOPY 31579 Laryngoscopy, flexible or rigid telescopic, with stroboscopy ENT

LARYNGOSCOPY, USING CO2 LASER LARYNGOSCOPY W CO2 LASER 31512 Laryngoscopy, indirect; with removal of lesion ENT

31540 Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis;

ENT

31541 Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope

ENT

31545 Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)

ENT

31546 Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with graft(s) (includes obtaining autograft)

ENT

31560 Laryngoscopy, direct, operative, with arytenoidectomy; ENT

31561 Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope

ENT

MASTOIDECTOMY ENT

MICROLARYNGOSCOPY, DIRECT, WITH BIOPSY IF INDICATED LARYNGOSCOPY MICRO DIRECT W BIOPSY/LARYNGOSCOPY MICRO DIRECT 31535 Laryngoscopy, direct, operative, with biopsy; ENT

31536 Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope

ENT

MICROLARYNGOSCOPY, DIRECT, WITH BIOPSY, USING CO2 LASER LARYNGOSCOPY MICRO DIRECT BIOPSY W CO2 LASER 31536 Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope

ENT

MICROLARYNGOSCOPY, DIRECT, WITH VOCAL CORD INJECTION LARYNGOSCOPY MICRO DIRECT W VOCAL CORD INJECTION 31571 Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope

ENT

MICROLARYNGOSCOPY, DIRECT, WITH VOCAL CORD POLYPECTOMY LARYNGOSCOPY MICRO DIRECT W VOCAL CORD POLYPECTOMY 31545 Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)

ENT

MYOTOMY, ESOPHAGUS, CERVICAL APPROACH, FOR ZENKER'S DIVERTICULUM REPAIR

ESOPHAGEAL DIVERTICULUM/MYOTOMY/CERVICAL APPROACH (ZENKERS) 43130 Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach

Thoracic, ENT

MYRINGOPLASTY, FAT PATCH MYRINGOTOMY W FAT GRAFT 69620 Myringoplasty (surgery confined to drumhead and donor area) ENT

MYRINGOTOMY MYRINGOTOMY 69420 Myringotomy including aspiration and/or eustachian tube inflation

ENT

69421 Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia

ENT

MYRINGOTOMY, WITH TYMPANOSTOMY TUBE INSERTION MYRINGOTOMY W TUBES 69420 Myringotomy including aspiration and/or eustachian tube inflation

ENT

69421 Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia

ENT

69433 Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia

ENT

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New Name Old Name CPT Code Service

MYRINGOTOMY, WITH TYMPANOSTOMY TUBE INSERTION MYRINGOTOMY W TUBES 69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia

ENT

MYRINGOTOMY, WITH TYMPANOSTOMY TUBE REMOVAL MYRINGOTOMY W TUBE REMOVAL 69420 Myringotomy including aspiration and/or eustachian tube inflation

ENT

69421 Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia

ENT

69424 Ventilating tube removal requiring general anesthesia ENT

OPEN REDUCTION INTERNAL FIXATION (ORIF), FRACTURE, BONE, ETHMOID OR NASAL

OPEN REDUCTION INTERNAL FIXATION NOSE/ETHMOID FRACTURE 21330 Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation

ENT

OPEN REDUCTION INTERNAL FIXATION (ORIF), FRACTURE, ZYGOMATICOMAXILLARY COMPLEX

OPEN REDUCT INTERNAL FIXATION ZYGOMA/FRONTAL/ORBIT FRACTURE 21365 Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with internal fixation and multiple surgical approaches

ENT

*21366 Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft)

ENT

OPEN REPAIR MANDIBULAR FRACTURE WITH INTERDENTAL FIXATION ENT

REDUCTION, NASAL TURBINATE, ENDOSCOPIC, USING CAUTERY REDUCTION/CAUTERY TURBINATE ENDOSCOPIC 30130 Excision inferior turbinate, partial or complete, any method ENT

REDUCTION, NASAL TURBINATE, WITHOUT ENDOSCOPY, USING CAUTERY REDUCTION/CAUTERY TURBINATE (NON-ENDOSCOPIC) 30801 Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial

ENT

30802 Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)

ENT

REMOVAL, CERUMEN, IMPACTED DISIMPACTION CERUMEN 69209 Removal impacted cerumen using irrigation/lavage, unilateral ENT

69210 Removal impacted cerumen requiring instrumentation, unilateral

ENT

REMOVAL, TYMPANOSTOMY TUBE REMOVAL EAR TUBE 69424 Ventilating tube removal requiring general anesthesia ENT

REMOVAL, TYMPANOSTOMY TUBE, WITH PATCH MYRINGOPLASTY REMOVAL EAR TUBE W PATCH 69424 Ventilating tube removal requiring general anesthesia ENT

69610 Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch

ENT

69620 Myringoplasty (surgery confined to drumhead and donor area) ENT

REMOVAL,STIMULATOR,UPPER AIRWAY ENT

REPAIR, NASAL VALVE VALVEPLASTY NASAL 30465 Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction)

ENT

REPAIR, NASAL VALVE, USING SEPTAL CARTILAGE GRAFT REPAIR NASAL VALVE W SEPTOCARTILAGE GRAFT 20912 Cartilage graft; nasal septum ENT

30465 Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction)

ENT

REPAIR, TYMPANIC MEMBRANE, USING PATCH INSERTION TYMPANIC PATCH 69610 Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch

ENT

REVISION, MASTOIDECTOMY ENT

REVISION, RHINOPLASTY RHINOPLASTY REVISION 30430 Rhinoplasty, secondary; minor revision (small amount of nasal tip work)

Aesthetics, Plastics, ENT

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New Name Old Name CPT Code Service

REVISION, RHINOPLASTY RHINOPLASTY REVISION 30435 Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)

Aesthetics, Plastics, ENT

30450 Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)

Aesthetics, Plastics, ENT

RHINOPLASTY RHINOPLASTY 30400 Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip

Aesthetics, ENT, Plastics

30410 Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip

Aesthetics, ENT, Plastics

30420 Rhinoplasty, primary; including major septal repair Aesthetics, ENT, Plastics

30430 Rhinoplasty, secondary; minor revision (small amount of nasal tip work)

Aesthetics, ENT, Plastics

30435 Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)

Aesthetics, ENT, Plastics

30450 Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)

Aesthetics, ENT, Plastics

30460 Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only

Aesthetics, ENT, Plastics

30462 Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies

Aesthetics, ENT, Plastics

RHINOSEPTOPLASTY SEPTORHINOPLASTY 30420 Rhinoplasty, primary; including major septal repair ENT

30520 Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft

ENT

RHINOSEPTOPLASTY, CLOSED SEPTORHINOPLASTY CLOSED 30420 Rhinoplasty, primary; including major septal repair ENT

30520 Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft

ENT

RHINOSEPTOPLASTY, OPEN SEPTORHINOPLASTY OPEN 30430 Rhinoplasty, secondary; minor revision (small amount of nasal tip work)

ENT

30435 Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)

ENT

30450 Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)

ENT

SEPTOPLASTY, NOSE SEPTOPLASTY 30520 Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft

ENT

SEPTOPLASTY, NOSE, WITH ENDOSCOPIC NASAL TURBINATE REDUCTION USING CAUTERY

SEPTOPLASTY W TURBINATE CAUTERY/REDUCTION 30130 Excision inferior turbinate, partial or complete, any method ENT

30520 Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft

ENT

SEPTOPLASTY, NOSE, WITH NASAL SEPTAL BUTTON INSERTION NASAL SEPTOPLASTY W BUTTON IMPLANT 30220 Insertion, nasal septal prosthesis (button) ENT

30520 Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft

ENT

SIALODOCHOPLASTY ENT

SIALOLITHECTOMY ENT

SIALOLITHOTOMY,INTRAORAL ENT

STAPEDECTOMY,TOTAL, USING MICROSCOPE ENT

Page 23 of 25 * Indicates Inpatient only CPT Code/Procedure

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New Name Old Name CPT Code Service

SURGICAL FRACTURE, INFERIOR NASAL TURBINATE REPAIR NASAL INFERIOR TURBINATE FRACTURE 30930 Fracture nasal inferior turbinate(s), therapeutic ENT

SURGICAL PROCUREMENT, GRAFT, CARTILAGE, EAR CARTILAGE GRAFT FROM EAR 21235 Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)

ENT, Plastics

TONSILLECTOMY TONSILLECTOMY 42825 Tonsillectomy, primary or secondary; younger than age 12 ENT

42826 Tonsillectomy, primary or secondary; age 12 or over ENT

TONSILLECTOMY AND ADENOIDECTOMY TONSILLECTOMY ADENOIDECTOMY 42820 Tonsillectomy and adenoidectomy; younger than age 12 ENT

42821 Tonsillectomy and adenoidectomy; age 12 or over ENT

TONSILLECTOMY AND ADENOIDECTOMY, WITH BILATERAL MYRINGOTOMY AND TYMPANOSTOMY TUBE INSERTION

TONSILLECTOMY ADENOIDECTOMY + MYRINGOTOMY W TUBES BILATERAL

42820 Tonsillectomy and adenoidectomy; younger than age 12 ENT

42821 Tonsillectomy and adenoidectomy; age 12 or over ENT

69420 Myringotomy including aspiration and/or eustachian tube inflation

ENT

69421 Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia

ENT

69433 Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia

ENT

69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia

ENT

TONSILLECTOMY, WITH BILATERAL MYRINGOTOMY AND TYMPANOSTOMY TUBE INSERTION

TONSILECTOMY + MYRINGOTOMY W TUBES BILATERAL 42825 Tonsillectomy, primary or secondary; younger than age 12 ENT

42826 Tonsillectomy, primary or secondary; age 12 or over ENT

69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia

ENT

TONSILLECTOMY, WITH MYRINGOTOMY AND TYMPANOSTOMY TUBE INSERTION

TONSILECTOMY + MYRINGOTOMY W TUBES UNILATERAL 42825 Tonsillectomy, primary or secondary; younger than age 12 ENT

42826 Tonsillectomy, primary or secondary; age 12 or over ENT

69420 Myringotomy including aspiration and/or eustachian tube inflation

ENT

69421 Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia

ENT

69433 Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia

ENT

69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia

ENT

TYMPANOPLASTY TYMPANOPLASTY 69610 Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch

ENT

69620 Myringoplasty (surgery confined to drumhead and donor area) ENT

69631 Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction

ENT

69632 Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration)

ENT

Page 24 of 25 * Indicates Inpatient only CPT Code/Procedure

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New Name Old Name CPT Code Service

TYMPANOPLASTY TYMPANOPLASTY 69633 Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [porp], total ossicular repl

ENT

69635 Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction

ENT

69636 Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction

ENT

69637 Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [porp], total

ENT

69641 Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction

ENT

69642 Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction

ENT

69643 Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction

ENT

69644 Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction

ENT

69645 Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction

ENT

69646 Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction

ENT

UVULECTOMY UVULECTOMY 42140 Uvulectomy, excision of uvula ENT

Page 25 of 25 * Indicates Inpatient only CPT Code/Procedure