31291 Nasal/sinus endoscopy surgical
Also known as: endoscopic medial/inferior decompression, extensive orbital ESS, bilateral orbital decomp
Nasal and sinus endoscopic surgery with extensive management including medial and inferior orbital decompression for orbital decompression.
In Plain Language
extensive eye pressure relief surgery
Clinical Context
Comprehensive endoscopic decompression of orbital medial and inferior walls. For severe Graves or orbital compartment syndrome.
RVU Breakdown
| Work RVU | 19.07 |
| Total RVU | 19.07 |
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 19.07, this code ranks in the 81st percentile among Surgery codes — 2.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31291?
CPT 31291 (Nasal/sinus endoscopy surgical) is a Surgery code. Nasal and sinus endoscopic surgery with extensive management including medial and inferior orbital decompression for orbital decompression.
What is the wRVU value for CPT 31291?
The work RVU for CPT 31291 is 19.07. This code is primarily used by Otolaryngology, Rhinology, Orbital Surgery. It has a 10-day global period.
When is CPT 31291 used?
Comprehensive endoscopic decompression of orbital medial and inferior walls. For severe Graves or orbital compartment syndrome.
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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.