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Nasal polyps are non-cancerous growths that develop on the mucous membrane lining the nasal passages or sinuses. These growths typically present in a teardrop shape and can vary in size. The presence of nasal polyps can lead to various symptoms, including nasal obstruction, reduced sense of smell, and sinus infections. The procedure coded as CPT® 30110 refers specifically to the excision of nasal polyp(s) in a simple manner. This procedure is generally performed in an office setting, utilizing local anesthesia to ensure patient comfort during the removal process. The excision is often carried out using specialized instruments such as a mechanical suction device or a microdebrider, which allows for precise removal of the polyp while minimizing damage to surrounding tissues. It is important to differentiate this procedure from more complex polypectomies, which may require general anesthesia and are coded under CPT® 30115. The choice of procedure depends on the complexity of the case and the specific needs of the patient.
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The excision of nasal polyp(s) using CPT® code 30110 is indicated for patients presenting with the following conditions:
The procedure for excising nasal polyp(s) coded under CPT® 30110 involves several key steps:
Following the excision of nasal polyp(s) using CPT® code 30110, patients can expect a recovery period that typically involves mild discomfort, which can be managed with over-the-counter pain relievers. It is important for patients to follow the post-operative care instructions provided by their physician, which may include avoiding strenuous activities, using saline nasal sprays to keep the nasal passages moist, and monitoring for any signs of infection or excessive bleeding. Follow-up appointments may be scheduled to assess healing and determine if further treatment is necessary.
| Short Descr | REMOVAL OF NOSE POLYP(S) | Medium Descr | EXCISION NASAL POLYP SIMPLE | Long Descr | Excision, nasal polyp(s), simple | Status Code | Active Code | Global Days | 010 - Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 33 - Other OR therapeutic procedures on nose, mouth and pharynx |
| 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | CR | Catastrophe/disaster related | GA | Waiver of liability statement issued as required by payer policy, individual case | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | RT | Right side (used to identify procedures performed on the right side of the body) | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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