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Question:
One of our patients presented with nasal obstruction, sinus obstruction, and multiple nasal polyps, and we performed a biopsy in conjunction with polypectomy and ethmoidectomy. Can we report a separate biopsy code for this?
Answer:
According to the NCCI Manual, you cannot report a separate biopsy code with the removal nasal/sinus endoscopy code (e.g., CPT® code 31255) because the biopsy tissue is procured as part of the surgery, not to establish the need for surgery.
CPT® is a registered trademark of the American Medical Association.
CPT® copyright 2023 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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