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In september of 2022, the american medical association (ama) announced the approval of a new category 1 cpt code for nasal endoscopic cryoablation surgery of the nasal pathway using the clarifix cryotherapy device Physician payment for procedures performed in a hospital (outpatient or inpatient) or ambulatory surgical center (asc) setting is described as a facility fee payment while payment for procedures performed in the physician office is described as a. The new code became effective on january 1, 2024.
I reached out to reimbursement folks at stryker regarding coding for clarifix device procedures Cpt codes are published by the ama and used to report medical services an procedures They just sent me print out from them recommending cpt code 30999.
Posterior nasal nerve ablation using radiofrequency or cryoablation (e.g., clarifix) (cpt codes 30999, 31242, and 31243) medicare does not have national coverage determination (ncd) for posterior nasal nerve ablation.
Currently there are three devices on the market proposed for this procedure, the clarifix ® device (stryker, plymouth, mn) which is a cryotherapy tool, and two radiofrequency tools The rhinaer ™ stylus (aerin medical, austin, tx) device and the neuromark ® system (neurent medical, braintree, ma). As per the fda 510k summary, the clarifix device is intended to be used as a cryosurgical tool for the destruction of unwanted tissue during surgical procedures, including in adults with chronic rhinitis. How do you bill a clarifix procedure
Most otolaryngology coders have come across charts describing ablations for treating chronic rhinitis and had time to refine their coding practices What you might not be familiar with, though, are the recently released code updates and their impact on how to report these procedures.
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