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31259 Nsl/sinus ndsc sphn tissue removal

Surgery Global 0d

Also known as: endoscopic sphenoid tissue removal, sphenoid wall removal, extended sphenoidectomy

Nasal and sinus endoscopic surgery with removal of sphenoid sinus posterior or lateral wall tissue, managing advanced sphenoid disease.

In Plain Language

deep sinus tissue removal surgery

Clinical Context

Endoscopic surgery with posterior or lateral sphenoid wall removal for mucoceles, severe infection, or intracranial extension management.

RVU Breakdown

Work RVU8.27
Total RVU8.27

Est. Medicare Payment

$276.22

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 8.27, this code ranks in the 51st percentile among Surgery codes — 1.0x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

OtolaryngologyRhinology

Frequently Asked Questions

What is CPT code 31259?

CPT 31259 (Nsl/sinus ndsc sphn tissue removal) is a Surgery code. Nasal and sinus endoscopic surgery with removal of sphenoid sinus posterior or lateral wall tissue, managing advanced sphenoid disease.

What is the wRVU value for CPT 31259?

The work RVU for CPT 31259 is 8.27. This code is primarily used by Otolaryngology, Rhinology.

When is CPT 31259 used?

Endoscopic surgery with posterior or lateral sphenoid wall removal for mucoceles, severe infection, or intracranial extension management.

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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.