31298 Nsl/sinus ndsc surgical frnt & sphn
Also known as: endoscopic frontal-sphenoid ESS, bilateral posterior ESS, frontal-sphenoid endoscopy
Nasal and sinus endoscopic surgery with combined management of both frontal and sphenoid sinuses for bilateral or complex disease.
In Plain Language
forehead and deep sinus surgery
Clinical Context
Endoscopic surgery addressing disease in both frontal and sphenoid sinuses. For pansinusitis or bilateral disease.
RVU Breakdown
| Work RVU | 4.39 |
| Total RVU | 4.39 |
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 4.39, this code ranks in the 30th percentile among Surgery codes — 1.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31298?
CPT 31298 (Nsl/sinus ndsc surgical frnt & sphn) is a Surgery code. Nasal and sinus endoscopic surgery with combined management of both frontal and sphenoid sinuses for bilateral or complex disease.
What is the wRVU value for CPT 31298?
The work RVU for CPT 31298 is 4.39. This code is primarily used by Otolaryngology, Rhinology.
When is CPT 31298 used?
Endoscopic surgery addressing disease in both frontal and sphenoid sinuses. For pansinusitis or bilateral 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.