31295 Nsl/sinus ndsc surgical max sinus
Also known as: endoscopic maxillary surgery specific, maxillary-focused ESS, maxillary endoscopy
Nasal and sinus endoscopic surgery with specific management of the maxillary sinus disease or drainage pathway.
In Plain Language
cheek sinus camera surgical treatment
Clinical Context
Endoscopic surgery focused on maxillary sinus pathology including mucoceles, polyps, or drainage obstruction.
RVU Breakdown
| Work RVU | 2.63 |
| Total RVU | 2.63 |
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 2.63, this code ranks in the 18th percentile among Surgery codes — 3.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31295?
CPT 31295 (Nsl/sinus ndsc surgical max sinus) is a Surgery code. Nasal and sinus endoscopic surgery with specific management of the maxillary sinus disease or drainage pathway.
What is the wRVU value for CPT 31295?
The work RVU for CPT 31295 is 2.63. This code is primarily used by Otolaryngology, Rhinology.
When is CPT 31295 used?
Endoscopic surgery focused on maxillary sinus pathology including mucoceles, polyps, or drainage obstruction.
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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.