In simple words: This procedure is a nose job done on someone who has already had a nose job before. It's a more complex type of nose job because it involves fixing the results of a previous surgery.The surgeon will reshape the bones and cartilage in the nose to improve its appearance or function. They may also need to take cartilage from other parts of the body to rebuild areas of the nose.

This code represents a secondary rhinoplasty procedure, meaning it is performed on a patient who has had a previous rhinoplasty.The procedure is classified as an intermediate revision, which involves manipulation of the nasal bones and includes osteotomies (surgical cuts in the bone) for reshaping. The procedure can be performed using either an open or closed approach. An open rhinoplasty involves an incision across the columella, the skin between the nostrils, allowing the surgeon to lift the skin and access the underlying structures.A closed rhinoplasty uses incisions inside the nostrils, avoiding any external scars.During the procedure, the surgeon reshapes the bone and cartilage of the nose and may also use grafts to augment or reconstruct certain areas.The specific techniques used will depend on the patient's individual needs and the goals of the revision.

Example 1: A patient had a previous rhinoplasty that resulted in a crooked nose.They undergo a revision rhinoplasty using code 30435 to straighten the nasal bones and improve symmetry., A patient experiences breathing difficulties after a previous rhinoplasty due to a collapsed nasal valve.Code 30435 is used for the revision rhinoplasty to reconstruct the valve and improve airflow., A patient is unhappy with the cosmetic appearance of their nose after a primary rhinoplasty. They elect to have a revision rhinoplasty (30435) to refine the tip, reduce a dorsal hump, and improve overall nasal aesthetics.

Documentation should include the operative report detailing the surgical technique, pre- and post-operative photographs, and any complications encountered.It should also document the medical necessity for the revision, such as functional problems or significant cosmetic deformities resulting from the primary rhinoplasty.Documentation of informed consent and discussions regarding risks and benefits should also be included.

** Revision rhinoplasty is a complex procedure and typically requires specialized expertise. As of today, December 1, 2024, this information is up-to-date; however, coding guidelines and medical practices can change, so it's always essential to refer to the most current resources.For the most up-to-date information, please consult iFrameAI.