Maxillectomy cpt code. The CPT codes in this Guide are unilateral procedures.
Maxillectomy cpt code. The surgical approach involves making an incision outside the mouth to access the tumor, allowing for the removal of the affected Apr 21, 2008 · I have a patient who had a endoscopic medial maxillectomy. The provider and myself cannot locate an appropriate CPT code and think we should use an unlisted (31299). PROCEDURE: A left complete functional endoscopic sinus surgery, (all documented in note) right medial CPT code 61581 is for a craniofacial procedure accessing the anterior cranial fossa, involving complex surgical steps like ethmoidectomy and maxillectomy. Check with individual payors. CPT Code 31205 CPT 31205 describes a total extranasal ethmoidectomy. Any suggestions, I used unlisted code 31299 [compare to 31225-open px] but rejected from ins co. May 23, 2019 · And endoscopic medial maxillectomy should be coded using an unlisted code 31299 and equate it to 31225 which is for the OPEN procedure, medial maxillectomy which is an inpatient only procedure. Clarification on Reporting the Sinusectomy CPT Codes Q. When To Use CPT 31230 CPT code 31230 is used when a provider performs a maxillectomy that includes orbital exenteration as part of the surgical intervention. Ensure you're working with the most up-to-date version of CPT Code 21080 by opening it in our free code lookup tool. The choice of approach is determined by the lesion’s location and size CPT code 31299 is used for procedures involving the accessory sinus that don't have a specific code, ensuring accurate procedure documentation. This operation is usually performed to treat tumors or severe infections in the maxillary region. 3. The procedure described by CPT® Code 31225 refers to a maxillectomy performed without orbital exenteration. Any suggestions? Thanks in advance! The CPT codes in this Guide are unilateral procedures. CPT Code 21060. A patient diagnosed with a benign maxillary tumor undergoes a maxillectomy without orbital involvement. Feb 15, 2024 · 15847: Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (e. Mar 15, 2023 · In the 58 West, 8 CPT codes (47%) kept up with inflation: 21422, 21246, 21196, 21195, 21194, 21193, 59 21048, and 21046. CPT Code 21050 CPT 21050 describes condylectomy and temporomandibular joint as separate procedures. CPT code 31230 is a medical billing code used to describe the surgical procedure for the removal of a portion of the upper jaw, also known as a maxillectomy. CPT Code 31225 CPT 31225 describes a maxillectomy without orbital exenteration. Common Mistake Coders may mistakenly report this code when orbital exenteration is performed, which requires a different code. I hope these guidelines and examples help you to navigate the new sinus endoscopy codes with ease. A maxillectomy is a surgical procedure that involves the removal of the maxilla, which is the upper jawbone that also forms part of the orbit and the nasal cavity. , abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary procedure) Apr 22, 2020 · CPT 31225 is a "excisional" code as the approach is described as intra-oral, your surgeon performed it endoscopically and there is no code representative of this. LT (maxillary antrostomy). This complex surgical procedure encompasses various techniques, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy, and/or maxillectomy. The code is used by healthcare providers to accurately document and bill for the surgical service CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Jul 1, 2003 · In the April 2003 Otolaryngology Coding Alert, the answer for Unmask Ins and Exs of Sinus Access should have stated to use the same code for Weber-Ferguson (31225, Maxillectomy; without orbital exenteration) as for the midfacial degloving approach. CPT Code 31200 CPT 31200 describes an intranasal, anterior ethmoidectomy. The Current Procedural Terminology (CPT ®) code 31230 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Accessory Sinuses. This procedure is particularly significant when the tumor is locally aggressive or destructive, necessitating an extraoral osteotomy and partial maxillectomy. This procedure is typically performed to treat conditions such as tumors, infections, or other abnormalities affecting the maxillary bone. CPT code 31225 is a medical billing code used to describe the surgical procedure for the removal of a portion of the upper jaw, also known as the maxilla. CPT code 31225 represents a surgical procedure known as maxillectomy, specifically performed without orbital exenteration. Oct 13, 2025 · 31225 - CPT® Code in category: Maxillectomy CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. If performed bilaterally, some payors require that the service be reported twice with modifier 50 appended to the second code while others require identification of the service only once with modifier 50 appended. The Current Procedural Terminology (CPT ®) code 31225 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Accessory Sinuses. The Current Procedural Terminology (CPT ®) code 21049 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Head. This procedure is typically performed to address conditions such as tumors, infections, or other abnormalities affecting the maxillary bone. 62 61 Conclusion: Reimbursement for maxillofacial surgery has lagged behind inflation with How To Use CPT Code 21080 This Content Might Be Outdated - Check in Our Free Code Lookup Tool Medical codes change frequently, and using outdated information can lead to denials. A maxillectomy involves the surgical removal of the maxilla, which is the upper jawbone, and is typically indicated for patients with malignant tumors located in the maxillary sinus. This code should be applied when the surgical approach necessitates the removal of both the maxilla and the orbital contents in a single operative session. When a surgeon suctions purulent mucoid material from any of the sinuses, is this considered removal of tissue and reported with codes 31254/31255, 31267, or 31288? Is it appropriate to report sinusectomy codes when the surgeon is only suctioning the purulent mucous from the sinus? A. The CPT codes in this Guide are unilateral procedures. CPT 61581 refers to a craniofacial approach to the anterior cranial fossa, specifically targeting extradural lesions or defects at the base of the skull. Feb 4, 2021 · My surgeon performed FESS with multiple components, one of which he indicated was maxillectomy. LT (frontal sinusotomy with exploration); and CPT 31256. If the physician performs nasal or […] Aug 13, 2019 · So our final codes will be CPT 31259. CPT Code 21049 CPT 21049 describes the excision of a benign tumor or cyst of the maxilla requiring extra-oral osteotomy and partial maxillectomy, such as a locally aggressive or destructive lesion. Clinical Context CPT 21049 refers to the excision of a benign tumor or cyst of the maxilla, which is the upper jaw bone. CPT Code 31201 CPT 31201 describes total intranasal ethmoidectomy. All versions of maxillectomy should be coded 31225 no matter what the incision is. In the Northeast and the South, all analyzed procedures reported decreased 60 reimbursement rates after adjusting for inflation. Below is a list summarizing the CPT codes for excision procedures on the accessory sinuses. CPT Code 31230 4 days ago · CPT ® Code Set 31230 - CPT® Code in category: Maxillectomy CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. The procedure described by CPT® Code 31230 refers to a maxillectomy performed with orbital exenteration in an en bloc fashion. This procedure is crucial in the management of various conditions affecting the maxilla, including malignant tumors, severe infections, and chronic granulomatous diseases. CPT 31230 Official description of CPT 31230: Maxillectomy; with orbital exenteration (en bloc). CPT code information is copyright by the AMA. We would like to show you a description here but the site won’t allow us. LT (total ethmoidectomy and sphenoidotomy with removal of diseased tissue); CPT 31276. Patient had orbital trauma 1 day ago · Question: What is the appropriate CPT code to report an endoscopic medial maxillectomy? Answer: It would be appropriate to report code 31299, Unlisted procedure, accessory sinuses, for an endoscopic medial maxillectomy because no other existing code describes the service listed. Maxillectomy is a surgical procedure to remove part or all of the maxilla (upper jaw) without involving the removal of the eye and related structures. Jun 26, 2013 · Does anyone know the CPT code (s) for an endoscopic medial maxillectomy with drainage of extramaxillary sinus mucocele? He did an endoscopic endonasal resection of the mass with drainage/excision of the parasinus mass and use of intra-operative navigation, extradural. g. ox smpbvu dl oosws inxw s1sfmv shtt 3xqru iyd3vs nbifj1