Can you appeal a denial for 30465 billed for an injection of a bio-absorbable implant into the lateral nasal wall to repair nasal vestibular stenosis, with the denial reason being “coding issue” and “wrong place of service”?
CPT 30465 is “repair of nasal vestibular stenosis (e.g., spreader grafting, lateral nasal wall reconstruction)” and has a 90-day global period, is inherently a bilateral procedure (meaning performed on both sides so modifier 50 may not be used), requires incisions and includes grafting as well as medial osteotomies when performed. It is not recommended to use 30465 for the office procedure, rather an unlisted CPT code such as 30999 should be used.
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