31237 Nsl/sinus ndsc surgical biopsy polypc
Also known as: endoscopic polypectomy with biopsy, sinus biopsy, endoscopic tissue biopsy, nasal endoscopy with biopsy
Nasal and sinus endoscopic surgery with biopsy of polyps or tissue lesions for histopathological evaluation.
In Plain Language
nasal tissue sample during surgery
Clinical Context
Endoscopic removal and biopsy of nasal polyps or suspicious sinus masses. Allows definitive diagnosis of malignancy or specific inflammatory conditions.
RVU Breakdown
| Work RVU | 2.54 |
| Total RVU | 2.54 |
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 2.54, 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 31237?
CPT 31237 (Nsl/sinus ndsc surgical biopsy polypc) is a Surgery code. Nasal and sinus endoscopic surgery with biopsy of polyps or tissue lesions for histopathological evaluation.
What is the wRVU value for CPT 31237?
The work RVU for CPT 31237 is 2.54. This code is primarily used by Otolaryngology, Rhinology.
When is CPT 31237 used?
Endoscopic removal and biopsy of nasal polyps or suspicious sinus masses. Allows definitive diagnosis of malignancy or specific inflammatory conditions.
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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.