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The CPT® Code 42972 refers to the medical procedure for the control of nasopharyngeal hemorrhage, which can be classified as either primary or secondary. Primary nasopharyngeal hemorrhage occurs independently of any surgical intervention, while secondary nasopharyngeal hemorrhage is a complication that arises following surgical procedures, such as adenoidectomy. This procedure is critical in managing significant bleeding in the nasopharyngeal area, which can pose serious health risks if not addressed promptly and effectively. The physician's role involves a thorough examination of the nasopharyngeal region to identify the source of the bleeding. Once identified, the physician employs various techniques to control the hemorrhage, including cauterization or suture ligation of the affected blood vessels. In cases where bleeding persists, additional measures such as posterior and/or anterior nasal packing may be implemented to ensure hemostasis. This code is specifically utilized when the situation necessitates a secondary surgical intervention, indicating a more complex and serious scenario than those covered by simpler procedures like CPT® Codes 42970 and 42971.
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The procedure associated with CPT® Code 42972 is indicated for the management of nasopharyngeal hemorrhage that may be classified as either primary or secondary. The following conditions warrant this intervention:
The procedure for CPT® Code 42972 involves several critical steps to effectively control nasopharyngeal hemorrhage:
After the procedure associated with CPT® Code 42972, the patient may require monitoring to ensure that the bleeding has been effectively controlled. Post-procedure care may include observation for any signs of recurrent bleeding, as well as the management of any discomfort or complications that may arise. The physician may provide specific instructions regarding follow-up care, including when to seek further medical attention if symptoms persist or worsen. Additionally, the patient may be advised on activity restrictions to promote healing and prevent further bleeding.
| Short Descr | CONTROL NOSE/THROAT BLEEDING | Medium Descr | CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ | Long Descr | Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention | 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) | 2 - Payment restriction for assistants at surgery does not apply 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 | 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) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 33 - Other 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. | 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.) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | RT | Right side (used to identify procedures performed on the right side of the body) |
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| Pre-1990 | Added | Code added. |
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