What is Lothrop procedure?
The modified Lothrop procedure or frontal sinus drill-out is a completely intranasal technique that creates a common frontonasal communication to allow drainage and ventilation of the chronically infected frontal sinus. It is an effective alternative to the classic frontal sinus obliteration.
What is the CPT code for functional endoscopic sinus surgery?
| CPT | |
|---|---|
| 31287 | Nasal/sinus endoscopy, surgical, with sphenoidotomy |
| 31288 | Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus |
| HCPCS | |
| S2342 | Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral |
How do you code sinus surgery?
31254, Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) 31276, Nasal/sinus endoscopy, surgical, with frontal sinus exploration, with or without removal of tissue from frontal sinus. 31287, Nasal/sinus endoscopy, surgical, with sphenoidotomy.
What is the CPT codes for nasal endoscopy with polypectomy?
31231 (Nasal endoscopy, diagnostic, unilateral or bilateral [separate procedure]) 30115 (Excision nasal polyp(s), extensive)…
| Endoscopic Sinus Surgery Codes | |
|---|---|
| CPT Code | Description |
| 31256 | Nasal/sinus endoscopy, surgical; with maxillary antrostomy |
What is a frontal sinusotomy?
What is endoscopic frontal sinusotomy? Endoscopic frontal sinusotomy involves the use of telescopes and cameras through the nose to reach the anterior ethmoid sinus, and then the frontal sinus above. These areas are opened and disease is removed.
What is FESS in ent?
FESS stands for functional endoscopic sinus surgery. Since its beginnings in the early 1990s, this minimally invasive surgery is effective in removing sinus polyps and other types of abnormalities of the nose that cause significant breathing problems, including chronic sinusitis.
What is the CPT code for revision of tracheostomy scar?
CPT says for scar revision to use a complex repair code such as 13100-13102.
What is procedure code 31237?
31237 – nasal/sinus endoscopy, surgical with biopsy, polypectomy, or debridement (separate procedure).
What is the global period for sinus surgery?
Many of the endoscopic sinus surgery procedure codes have a global period of zero follow-up days. When these are the only procedure codes performed on the date of the original surgical session, all postoperative follow-up care is separately billable.
What is maxillary Antrostomy?
WHAT IS A MAXILLARY ANTROSTOMY? The maxillary sinuses are located under your cheekbones. When they become blocked and no longer drain properly, an infection can develop. Often, the sinus opening itself becomes blocked, too. The procedure to clear the sinus opening is called a maxillary antrostomy.
What is required for a 99204?
For a 99204, all three major criteria (history, physical exam and medical decision making) must be met. For a 99204, the physical exam must cover at least 18 bullets from at least nine systems or body areas. A 99214 requires at least 12 bullets from at least two systems or body areas.
What is the CPT code for endoscopy?
The Esophagus/Endoscopy section has undergone substantial changes, with codes divided into three subsections: Esophagoscopy (43191-43232), Esophagogastroduodenoscopy (EGD) (43235-43259), and Endoscopic Retrograde Cholangiopancreatography (ERCP) (43260-43278).
How does the endoscopic modified Lothrop procedure work?
The endoscopic modified Lothrop procedure creates a common nasofrontal drainage pathway by resecting the superior nasal septum and removing the frontal sinus floors bilaterally to create a common drainage space.
What is the modified Lothrop procedure for sinus surgery?
Modified Lothrop Procedure for Sinus Surgery. Endoscopic sinus surgery is a minimally invasive, precise surgery using telescopes, micro-debrider and radio frequency treatment for acute and chronic sinus infections / headaches (children and adults), scarless blocked tear duct surgery, closure of brain fluid leakage,…
What kind of CT is done with Lothrop 3?
A). A Draf III procedure was performed (Fig. B), and a follow-up CT (Fig. C) showed clearing of the left frontal sinus (f). Coronal CT images in a patient after modified Lothrop (Draf III) procedure with persistent frontal pressure and recurrent infections.
Which is better endoscopic modified Lothrop or osteoplastic flap?
Endoscopic view after the endoscopic modified Lothrop procedure. When appropriate training and instrumentation are available, the endoscopic modified Lothrop procedure provides an excellent alternative to osteoplastic flap surgery with or without fat obliteration.
