© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 30118 involves the excision or destruction of an intranasal lesion using an external approach known as lateral rhinotomy. An intranasal lesion refers to any abnormal tissue growth located within the nasal cavity, which may require surgical intervention for removal or destruction. The lateral rhinotomy approach is characterized by an incision that begins just below the inner aspect of the eyebrow and extends down along the lateral wall of the nose, ultimately reaching the nasolabial fold and encircling the alar margin. This method allows for direct access to the nasal cavity, facilitating the excision or destruction of the lesion. Prior to the procedure, the area is typically cleansed, and local anesthesia is administered to ensure patient comfort. The surgical technique may involve various methods for lesion removal, including excision with a margin of healthy tissue or destruction through techniques such as cryosurgery, electrosurgery, or laser treatment. The choice of technique depends on the specific characteristics of the lesion and the surgeon's assessment. Following the procedure, the excised lesion is often sent for histologic evaluation to determine its nature and ensure appropriate management.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 30118 is indicated for the excision or destruction of intranasal lesions that may present various symptoms or conditions requiring surgical intervention. These indications may include:
The procedure for CPT® Code 30118 involves several detailed steps to ensure the effective excision or destruction of the intranasal lesion. The steps are as follows:
Post-procedure care for patients undergoing CPT® Code 30118 includes monitoring for any signs of complications such as excessive bleeding or infection. Patients are typically advised on wound care, which may involve keeping the area clean and dry. Follow-up appointments may be scheduled to assess healing and to review the histologic evaluation results of the excised lesion. Patients may also receive instructions regarding pain management and activity restrictions to promote optimal recovery.
| Short Descr | REMOVAL OF INTRANASAL LESION | Medium Descr | EXCISION/DESTRUCTION INTRANASAL LESION XTRNL | Long Descr | Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy) | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | 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) | 1 - Co-surgeons could be paid, though supporting documentation is required... | 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 | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5E - Ambulatory procedures - other | MUE | 1 | CCS Clinical Classification | 32 - Other non-OR therapeutic procedures on nose, mouth and pharynx |
| 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. | 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. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 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) | RT | Right side (used to identify procedures performed on the right side of the body) | SG | Ambulatory surgical center (asc) facility service | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2024-01-01 | Changed | Guideline added. |
| 2002-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.