2025 CPT code 30420
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Rhinoplasty Surgery Feed
Primary rhinoplasty including major septal repair.
Modifiers may be applicable in specific situations, such as modifier 22 (increased procedural services) or 51 (multiple procedures). Refer to the current CPT guidelines for appropriate modifier usage.
Medical necessity for rhinoplasty with septal repair is typically established by demonstrating significant nasal obstruction, breathing difficulties, or functional impairment impacting the patient's quality of life.Cosmetic reasons alone might not meet the medical necessity criteria for certain payers.
The otolaryngologist (ENT surgeon) or a plastic surgeon typically performs this procedure. The surgeon's responsibilities include preoperative assessment and planning, surgical execution using appropriate techniques, and postoperative care.
In simple words: This code describes a nose surgery (rhinoplasty) done for the first time, which also includes fixing a major problem with the nasal septum (the wall that divides the nostrils). The surgeon might use different methods to reshape the nose, and sometimes adds grafts to improve its shape or structure.
This CPT code, 30420, represents a primary rhinoplasty procedure that encompasses a major septal repair.Rhinoplasty is a surgical procedure performed to reshape the external and/or internal structures of the nose, often for both cosmetic and functional improvements.A primary rhinoplasty is the initial surgical intervention on the nose. The major septal repair component addresses significant structural issues within the nasal septum, the cartilage and bone dividing the nasal passages.The surgeon may utilize either an open or closed surgical approach, and the procedure may involve techniques like osteotomies, cartilage reshaping, and/or grafting.The specific techniques used are dependent on the patient's individual anatomical needs and the surgeon's preferences.
Example 1: A patient presents with a deviated septum causing significant nasal obstruction and difficulty breathing. The surgeon performs a rhinoplasty with septal repair to correct the deviation and improve airflow. , A patient desires to improve the cosmetic appearance of their nose, including a dorsal hump reduction and tip refinement.The surgeon performs a rhinoplasty that incorporates a septal repair addressing minor septal deviation., A patient has experienced a nasal fracture resulting in both functional and cosmetic deformity. The surgeon performs a reconstructive rhinoplasty with septal repair to restore the normal anatomy and improve breathing.
* Detailed patient history including symptoms, prior surgeries, allergies and current medications.* Pre-operative photographs, including close-ups of nasal structures.* Operative report detailing the surgical approach (open or closed), specific techniques used, and amount of tissue removed or grafted.* Post-operative photographs.* Documentation of any complications.* Evidence of medical necessity (for insurance purposes, if required).
** Always ensure accurate documentation and appropriate code selection based on the services performed.Consult with a coding specialist if any uncertainty exists regarding code selection or modifier application.Specific payer requirements may vary.
- Revenue Code: P5E (Ambulatory Procedures - Other)
- RVU: This information is not available from the provided source.Consult the current AMA CPT codebook or a relevant payer's fee schedule for RVU information.
- Global Days : The global period for this procedure varies depending on payer and specific circumstances.Refer to payer specific guidelines.
- Payment Status: Active
- Modifier TC rule: This information is not available from the provided source, please check the most current CPT guidelines.
- Fee Schedule : This information is not available from the provided source. Check the AMA CPT codebook or relevant payer's historical fee schedules.
- Specialties:Otolaryngology, Plastic Surgery
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)