31235 Nsl/sinus ndsc diagnosis sphn sinusc
Also known as: diagnostic sinus endoscopy sphenoid, posterior sinus evaluation, sphenoid endoscopy
Diagnostic nasal and paranasal sinus endoscopy with visualization of sphenoid sinus, evaluating posterior sinus anatomy and pathology.
In Plain Language
deep sinus camera exam
Clinical Context
Endoscopic evaluation of sphenoid sinus for chronic disease, inflammation, or lesions. Requires skill due to posterior location and proximity to critical structures.
RVU Breakdown
| Work RVU | 2.57 |
| Total RVU | 2.57 |
Est. Medicare Payment
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 2.57, this code ranks in the 18th percentile among Surgery codes — 3.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31235?
CPT 31235 (Nsl/sinus ndsc diagnosis sphn sinusc) is a Surgery code. Diagnostic nasal and paranasal sinus endoscopy with visualization of sphenoid sinus, evaluating posterior sinus anatomy and pathology.
What is the wRVU value for CPT 31235?
The work RVU for CPT 31235 is 2.57. This code is primarily used by Otolaryngology, Rhinology.
When is CPT 31235 used?
Endoscopic evaluation of sphenoid sinus for chronic disease, inflammation, or lesions. Requires skill due to posterior location and proximity to critical structures.
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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.