Plastic Surgery Billing Services

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.

TriumpHealth provides plastic surgery medical billing solutions that maximize reimbursement, reduce costs and streamline practice operations. Our team of certified medical coders and billing experts will manage all aspects of your medical billing, including common documentation shortfalls such as time-based visits, which help to ensure your practice receives maximum reimbursement for services rendered.