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31233 Nsl/sinus ndsc diagnosis max sinusc

Surgery Global 0d

Also known as: diagnostic sinus endoscopy maxillary, antral endoscopy, maxillary sinus evaluation

Diagnostic nasal and paranasal sinus endoscopy with visualization of maxillary sinus, typically via puncture of maxillary antrum.

In Plain Language

cheek sinus camera exam

Clinical Context

Endoscopic evaluation of maxillary sinus anatomy and pathology. May include antral puncture for improved visualization of posterior maxillary cavity.

RVU Breakdown

Work RVU2.13
Total RVU2.13

Est. Medicare Payment

$71.14

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 2.13, this code ranks in the 15th percentile among Surgery codes — 3.8x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

OtolaryngologyRhinology

Frequently Asked Questions

What is CPT code 31233?

CPT 31233 (Nsl/sinus ndsc diagnosis max sinusc) is a Surgery code. Diagnostic nasal and paranasal sinus endoscopy with visualization of maxillary sinus, typically via puncture of maxillary antrum.

What is the wRVU value for CPT 31233?

The work RVU for CPT 31233 is 2.13. This code is primarily used by Otolaryngology, Rhinology.

When is CPT 31233 used?

Endoscopic evaluation of maxillary sinus anatomy and pathology. May include antral puncture for improved visualization of posterior maxillary cavity.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.