31257 Nsl/sinus ndsc tot with sphendt
Also known as: endoscopic total sphenoidectomy, complete sphenoid ESS, sphenoid sinus removal
Comprehensive nasal and sinus endoscopic surgery including total sphenoidectomy, removing all sphenoid sinus mucosa and air cells.
Clinical Context
Endoscopic total sphenoidectomy for advanced sphenoid disease, mucoceles, or tumor. Requires careful dissection to avoid injury to optic nerve and carotid.
RVU Breakdown
| Work RVU | 7.80 |
| Practice Expense RVU | 2.29 |
| Malpractice RVU | 1.14 |
| Total RVU | 11.23 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.