CPT® Code 42971

1. Indications

The procedure associated with CPT® Code 42971 is indicated for the management of nasopharyngeal hemorrhage that is classified as either primary or secondary. The following conditions may warrant this procedure:

• Primary Nasopharyngeal Hemorrhage Occurs without any surgical intervention, necessitating medical attention to control the bleeding.
• Secondary Nasopharyngeal Hemorrhage Results from surgical procedures, such as adenoidectomy, where bleeding may occur post-operatively and requires intervention.

2. Procedure

The procedure for controlling nasopharyngeal hemorrhage as described by CPT® Code 42971 involves several critical steps to ensure effective management of the bleeding.

• Step 1: Examination of the Nasopharyngeal Area The physician begins by conducting a thorough examination of the nasopharyngeal region to identify the specific sites of hemorrhage. This assessment is crucial for determining the appropriate treatment approach.
• Step 2: Initial Control Measures Once the bleeding sites are identified, the physician may employ techniques such as cauterization to control the bleeding. Additionally, posterior nasal packing is applied to help manage the hemorrhage. If the bleeding persists, anterior nasal packing may also be utilized to provide further support in controlling the flow of blood.
• Step 3: Hospital Admission If the initial control measures are insufficient and bleeding continues, the patient is admitted to the hospital for more intensive management. This includes overnight observation to monitor the patient's condition and the administration of intravenous fluids to maintain hydration and support recovery.

3. Post-Procedure

After the procedure, patients are typically monitored in a hospital setting to ensure that the bleeding is adequately controlled and to assess for any potential complications. The expected recovery involves close observation of the nasopharyngeal area, with additional interventions provided as necessary. Patients may require follow-up care to ensure that the bleeding does not recur and to address any underlying issues that may have contributed to the hemorrhage.