31290 Nasal/sinus endoscopy surgical
Also known as: endoscopic orbital decompression, endoscopic medial decompression, orbital ESS
Nasal and sinus endoscopic surgery with extensive management, including medial orbital decompression, addressing orbital compartment syndrome or optic neuropathy.
In Plain Language
nasal sinus surgery for eye pressure relief
Clinical Context
Endoscopic medial orbital wall removal for Graves ophthalmopathy or orbital compartment syndrome. Allows expansion of orbital volume.
RVU Breakdown
| Work RVU | 18.14 |
| Total RVU | 18.14 |
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 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 18.14, this code ranks in the 79th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31290?
CPT 31290 (Nasal/sinus endoscopy surgical) is a Surgery code. Nasal and sinus endoscopic surgery with extensive management, including medial orbital decompression, addressing orbital compartment syndrome or optic neuropathy.
What is the wRVU value for CPT 31290?
The work RVU for CPT 31290 is 18.14. This code is primarily used by Otolaryngology, Rhinology, Orbital Surgery. It has a 10-day global period.
When is CPT 31290 used?
Endoscopic medial orbital wall removal for Graves ophthalmopathy or orbital compartment syndrome. Allows expansion of orbital volume.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.