31287 Nasal/sinus endoscopy surgical
Also known as: endoscopic sinus surgery adjunctive, ESS with additional procedure, complex endoscopy
Nasal and sinus endoscopic surgery with additional management procedure (unspecified), indicating complex endoscopic intervention beyond standard approaches.
In Plain Language
complex nasal sinus surgery
Clinical Context
Comprehensive endoscopic sinus surgery with additional adjunctive procedures. Used when standard ESS codes insufficient to describe surgical complexity.
RVU Breakdown
| Work RVU | 3.41 |
| Total RVU | 3.41 |
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 3.41, this code ranks in the 24th percentile among Surgery codes — 2.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31287?
CPT 31287 (Nasal/sinus endoscopy surgical) is a Surgery code. Nasal and sinus endoscopic surgery with additional management procedure (unspecified), indicating complex endoscopic intervention beyond standard approaches.
What is the wRVU value for CPT 31287?
The work RVU for CPT 31287 is 3.41. This code is primarily used by Otolaryngology, Rhinology.
When is CPT 31287 used?
Comprehensive endoscopic sinus surgery with additional adjunctive procedures. Used when standard ESS codes insufficient to describe surgical complexity.
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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.