2025 CPT code 30450
Effective Date: N/A Surgery - Surgical Procedures on the Respiratory System Feed
Secondary rhinoplasty with major revision involving nasal tip work and osteotomies.
Modifiers may be applicable.Refer to current CPT guidelines for specific modifier usage.
Medical necessity must be established by documenting the functional impairment or deformity caused by the previous rhinoplasty.This could include breathing difficulties, nasal obstruction, or a significant deformity impacting the patient's quality of life. If the revision is primarily cosmetic, detailed documentation of the deformity and its psychological impact on the patient is crucial.
The physician performs the surgical procedure, including prepping the patient, administering anesthesia, making the necessary incisions, reshaping bone and cartilage, and closing the incisions.
In simple words: This is a surgery to fix the nose of someone who has already had a nose job.It's a more complex revision, involving work on the tip of the nose and reshaping the nasal bones. The goal might be to improve breathing or to correct problems with the appearance of the nose from a previous surgery.
This procedure involves a major revision of a previous rhinoplasty, addressing nasal tip and bone structure. It includes osteotomies (bone cuts) to reshape the nasal bones and surgical work on the nasal tip, which may involve altering or removing cartilage and soft tissue.The procedure can be performed using either an open or closed approach. Open rhinoplasty involves external incisions, while closed rhinoplasty involves incisions inside the nostrils.
Example 1: A patient who underwent rhinoplasty a year prior experiences difficulty breathing due to internal nasal valve collapse. The surgeon performs a revision rhinoplasty involving spreader grafts and osteotomies (30450) to correct the issue., A patient has a crooked nose and a deviated septum following a previous rhinoplasty. The surgeon performs a revision rhinoplasty to straighten the nose and improve breathing, requiring extensive tip work and osteotomies., A patient is unhappy with the cosmetic outcome of their initial rhinoplasty, finding their nasal tip too bulbous. The surgeon performs a major revision to refine the nasal tip, including cartilage resection and reshaping. This qualifies as major revision work due to the complexity of the nasal tip work.
Documentation should include details of the previous rhinoplasty, specific issues being addressed, operative approach (open vs. closed), techniques used, and pre- and post-operative photographs. Medical necessity for the revision should be clearly justified, especially if the reason is functional.
** It is crucial to distinguish between minor, intermediate, and major revisions to ensure correct coding.When grafting materials are obtained from separate sites, additional codes may be necessary.Always ensure documentation clearly supports the complexity of the revision to justify the use of 30450.
- Specialties:Plastic Surgery, Facial Plastic Surgery, Otolaryngology
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Office