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A therapeutic injection into the turbinate(s) involves administering medication directly into one or more of the nasal turbinate bones, which are essential structures within the nasal cavity. The turbinate bones, also known as nasal conchae, consist of three pairs located on each side of the nose: the inferior, middle, and superior turbinates. These thin, spongy bony plates play a crucial role in regulating airflow and humidifying the air we breathe. The inferior turbinate is positioned to separate the middle meatus from the inferior meatus, while the middle turbinate divides the superior meatus from the middle meatus. The superior turbinate, on the other hand, separates the superior meatus from the sphenoethmoid recess. The primary purpose of this injection is to deliver corticosteroids into the mucosa of the turbinate bones, which is particularly beneficial for patients suffering from allergic or vasomotor rhinitis. By injecting the medication, a bleb is formed over the turbinate bone, facilitating a slow and sustained release of the corticosteroid into the surrounding tissue. This method aims to alleviate symptoms associated with nasal congestion and inflammation, providing therapeutic relief to patients experiencing these conditions.
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The therapeutic injection into the turbinate(s) is indicated for the treatment of specific nasal conditions. The following are the primary indications for this procedure:
The procedure for administering a therapeutic injection into the turbinate(s) involves several key steps to ensure accuracy and effectiveness. Each step is crucial for achieving the desired therapeutic outcome.
Following the therapeutic injection into the turbinate(s), patients may experience some mild discomfort or swelling at the injection site, which is typically temporary. It is important for patients to follow any post-procedure instructions provided by their healthcare provider, which may include avoiding strenuous activities or exposure to irritants for a specified period. Patients should also be advised to monitor their symptoms and report any unusual reactions, such as excessive bleeding or signs of infection, to their healthcare provider. The expected recovery time is generally short, with many patients experiencing relief from their symptoms within a few days as the medication takes effect.
| Short Descr | INJECTION TREATMENT OF NOSE | Medium Descr | INJECTION TURBINATE THERAPEUTIC | Long Descr | Injection into turbinate(s), therapeutic | Status Code | Active Code | Global Days | 000 - Endoscopic or 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) | 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) | 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 | Procedure or Service, Multiple Reduction Applies | 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 | 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). | 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. | 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. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 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.) | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | GC | This service has been performed in part by a resident under the direction of a teaching physician | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | 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) | 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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