CPT Code Lookup Tool
Use this free CPT Lookup Tool to search for Current Procedural Terminology (CPT) codes, descriptions, and related details — designed to help streamline and simplify your medical billing process.
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Office or other outpatient visit
Evaluation and management of an established patient...
Information
This code is for use in medical billing and coding.
Information
This code is part of the section of CPT codes.
Office or other outpatient visit for the evaluation and management...
Note
This description reflects the 2021 E/M coding guidelines.
Information
codes are used to report evaluation and management services provided in various settings.
Information
RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.
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This code is commonly used by primary care providers, but may be used by any specialty providing office visits.
Significant, separately identifiable E/M service
Information
Modifiers provide additional information about the service provided.
Detail About CPT 31256
Related Codes Table
| CPT Code | Description |
|---|---|
| 31267 | Nasal/sinus endoscopy, surgical; with ethmoidectomy (total) |
| 31276 | Nasal/sinus endoscopy, surgical; with sphenoidotomy |
| 31287 | Nasal/sinus endoscopy, surgical; with frontal sinus exploration |
| 31288 | Nasal/sinus endoscopy, surgical; with maxillary antrostomy and polypectomy (with or without removal of tissue from maxillary sinus) |
| 31295 | Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (e.g., balloon dilation) |
Commonly Billed With
CPT code 31256 is commonly billed with:
- 31254 - Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)
- 30930 - Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing)
- 30140 - Submucous resection inferior turbinate, partial or complete, any method (e.g., electrocautery, radiofrequency)
Clinical Scenarios
Scenario 1: Maxillary Sinus Infection
In this scenario, CPT code 31256 would be used to perform a maxillary antrostomy to treat chronic sinusitis.
Scenario 2: Sinonasal Polyps Removal
If the procedure involves both maxillary antrostomy and polypectomy in the maxillary sinus, CPT code 31288 should be reported.
FAQ
Can CPT code 31256 be reported separately from other sinus procedures?
Yes, CPT code 31256 describes a specific procedure and can be reported separately when performed alone.
Is CPT code 31256 used for diagnostic purposes only?
No, CPT code 31256 is a surgical procedure code used for therapeutic interventions in the nasal and sinus cavities.
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