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Obliterative frontal sinusotomy, as described by CPT® Code 31084, is a surgical procedure aimed at addressing issues related to the frontal sinus, particularly in cases where other treatments have failed. This procedure is less commonly performed today but may still be indicated for patients suffering from intractable frontal sinusitis, complications arising from previous surgical interventions, or conditions such as mucopyocele. The technique involves creating a brow incision and utilizing an osteoplastic flap to access the frontal sinus. The procedure entails the removal of the frontal sinus mucosa and obliteration of the sinus cavity, which is typically filled with abdominal fat to prevent future complications. The detailed steps of the procedure highlight the surgical approach and the meticulous care taken to ensure proper closure and recovery. This code is essential for medical coders and billers to accurately represent the surgical intervention performed, ensuring appropriate reimbursement and compliance with coding standards.
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Obliterative frontal sinusotomy (CPT® Code 31084) is indicated for the following conditions:
The obliterative frontal sinusotomy procedure (CPT® Code 31084) involves several detailed steps to ensure effective access and treatment of the frontal sinus:
Post-procedure care following an obliterative frontal sinusotomy (CPT® Code 31084) typically involves monitoring for any signs of complications, such as infection or excessive bleeding. Patients may be advised to avoid strenuous activities and follow specific instructions regarding wound care to ensure proper healing. Follow-up appointments are essential to assess recovery and address any concerns that may arise during the healing process. The expected recovery time may vary based on individual patient factors and the extent of the procedure performed.
| Short Descr | REMOVAL OF FRONTAL SINUS | Medium Descr | SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC | Long Descr | Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision | 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) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply 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 | 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) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 33 - Other OR therapeutic procedures on nose, mouth and pharynx |
| 62 | Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate. | 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) |
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| Pre-1990 | Added | Code added. |
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