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31238 Nsl/sinus ndsc srg nsl hemrrg

Surgery Global 0d

Also known as: endoscopic epistaxis control, endoscopic hemostasis, endoscopic cautery

Nasal and sinus endoscopic surgery with control of nasal hemorrhage, including cauterization or packing techniques via endoscopic visualization.

In Plain Language

nasal bleeding surgery with camera

Clinical Context

Endoscopic management of nasal hemorrhage, often from septal perforations or granulation tissue. Superior visualization compared to blind packing.

RVU Breakdown

Work RVU2.67
Total RVU2.67

Est. Medicare Payment

$89.18

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 2.67, this code ranks in the 18th percentile among Surgery codes — 3.0x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

OtolaryngologyRhinology

Frequently Asked Questions

What is CPT code 31238?

CPT 31238 (Nsl/sinus ndsc srg nsl hemrrg) is a Surgery code. Nasal and sinus endoscopic surgery with control of nasal hemorrhage, including cauterization or packing techniques via endoscopic visualization.

What is the wRVU value for CPT 31238?

The work RVU for CPT 31238 is 2.67. This code is primarily used by Otolaryngology, Rhinology.

When is CPT 31238 used?

Endoscopic management of nasal hemorrhage, often from septal perforations or granulation tissue. Superior visualization compared to blind packing.

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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.