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Nasal valve collapse is a significant contributor to nasal obstruction, which can severely impact a person's ability to breathe comfortably. The nasal valve is defined as the narrowest part of the nasal airway, consisting of the septum that divides the left and right nasal passages, the lateral walls of the nose, and the turbinates, which are structures that help warm and humidify the air we breathe. When the nasal valve collapses, it can lead to various symptoms, including difficulty breathing, sleep disturbances, loud snoring, daytime fatigue, and challenges in obtaining sufficient air during physical activities. The procedure described by CPT® Code 30469 involves nasal airway remodeling, which is designed to enhance nasal breathing without altering the external appearance of the nose. This is achieved through the application of a local anesthetic inside the nasal cavity, followed by the use of a specialized hand-held stylus device that delivers controlled, low-temperature radiofrequency energy. This energy is applied to the lateral walls, inferior turbinates, and septal swell, allowing for the precise remodeling of the nasal structures. The console connected to the stylus ensures that the temperature is automatically regulated, promoting safety and effectiveness. The low-energy application works by shrinking the submucosal tissue and remodeling the cartilage and soft tissue, thereby creating more space within the nasal passageway without the need for surgical incisions.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 30469 is indicated for patients experiencing nasal valve collapse, which is a primary cause of nasal obstruction. The following conditions and symptoms may warrant this procedure:
The procedure for repairing nasal valve collapse using CPT® Code 30469 involves several key steps that ensure effective remodeling of the nasal airway:
After the procedure, patients may experience some mild discomfort or swelling in the nasal area, which is typically manageable with over-the-counter pain relief. It is important for patients to follow any specific post-procedure care instructions provided by their healthcare provider, which may include avoiding strenuous activities for a short period and using saline nasal sprays to keep the nasal passages moist. Patients should also be monitored for any signs of complications, such as excessive bleeding or infection, and follow-up appointments may be scheduled to assess the effectiveness of the procedure and ensure proper healing.
| Short Descr | RPR NSL VLV COLLAPSE W/RMDLG | Medium Descr | RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG | Long Descr | Repair of nasal valve collapse with low energy, temperature-controlled (ie, radiofrequency) subcutaneous/submucosal remodeling | 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) | 2 - 150% payment adjustment 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 | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
| 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. | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 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. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 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) | 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) | RT | Right side (used to identify procedures performed on the right side of the body) | SG | Ambulatory surgical center (asc) facility service | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2023-01-01 | Added | Code added. |
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