31292 Nsl/sinus ndsc medial/inferior dcmprn
Also known as: extensive orbital decompression, bilateral orbital wall removal, comprehensive orbital ESS
Nasal and sinus endoscopic surgery with medial and inferior orbital decompression including additional orbital floor or wall management procedures.
In Plain Language
extensive eye pressure relief with floor surgery
Clinical Context
Comprehensive endoscopic orbital decompression addressing medial, inferior, and extended orbital anatomy. For severe orbital disease.
RVU Breakdown
| Work RVU | 15.50 |
| Total RVU | 15.50 |
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 15.50, this code ranks in the 74th percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31292?
CPT 31292 (Nsl/sinus ndsc medial/inferior dcmprn) is a Surgery code. Nasal and sinus endoscopic surgery with medial and inferior orbital decompression including additional orbital floor or wall management procedures.
What is the wRVU value for CPT 31292?
The work RVU for CPT 31292 is 15.50. This code is primarily used by Otolaryngology, Rhinology, Orbital Surgery. It has a 10-day global period.
When is CPT 31292 used?
Comprehensive endoscopic orbital decompression addressing medial, inferior, and extended orbital anatomy. For severe orbital disease.
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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.