31293 Nsl/sinus ndsc medial & inferior dcmprn
Also known as: total orbital decompression, comprehensive orbital ESS, extended orbital decomp
Nasal and sinus endoscopic surgery with complete medial and inferior orbital wall decompression and management of superior/lateral orbital anatomy.
In Plain Language
complete eye pressure relief surgery
Clinical Context
Most extensive endoscopic orbital decompression addressing all orbital walls. For severe Graves ophthalmopathy with vision threat.
RVU Breakdown
| Work RVU | 17.03 |
| Total RVU | 17.03 |
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 17.03, this code ranks in the 77th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31293?
CPT 31293 (Nsl/sinus ndsc medial & inferior dcmprn) is a Surgery code. Nasal and sinus endoscopic surgery with complete medial and inferior orbital wall decompression and management of superior/lateral orbital anatomy.
What is the wRVU value for CPT 31293?
The work RVU for CPT 31293 is 17.03. This code is primarily used by Otolaryngology, Rhinology, Orbital Surgery. It has a 10-day global period.
When is CPT 31293 used?
Most extensive endoscopic orbital decompression addressing all orbital walls. For severe Graves ophthalmopathy with vision threat.
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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.