31267 Endoscopy maxillary sinus
Also known as: endoscopic maxillary surgery, maxillary endoscopy, direct maxillary visualization
Endoscopic management of maxillary sinus with direct visualization, allowing for disease evaluation and tissue removal or drainage.
In Plain Language
cheek sinus camera procedure
Clinical Context
Endoscopic surgery of maxillary sinus with direct scope visualization for disease management. May include antral puncture or ostium enlargement.
RVU Breakdown
| Work RVU | 4.56 |
| Total RVU | 4.56 |
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 4.56, this code ranks in the 31st percentile among Surgery codes — 1.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31267?
CPT 31267 (Endoscopy maxillary sinus) is a Surgery code. Endoscopic management of maxillary sinus with direct visualization, allowing for disease evaluation and tissue removal or drainage.
What is the wRVU value for CPT 31267?
The work RVU for CPT 31267 is 4.56. This code is primarily used by Otolaryngology, Rhinology.
When is CPT 31267 used?
Endoscopic surgery of maxillary sinus with direct scope visualization for disease management. May include antral puncture or ostium enlargement.
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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.