Editor’s Note: Cutting through the red tape to make certain you get paid for every dollar you earn has become more difficult than ever, particularly in our current climate of health care reform and ICD-10 transition. The ACEP Coding and Nomenclature Committee has partnered with ACEP Now to provide you with practical, impactful tips to help you navigate through this coding and reimbursement maze.
Question: Are there different codes for managing nosebleeds?
Answer: Yes, there are. Epistaxis control is achieved through a variety of modalities. Anterior epistaxis control has two codes: 30901 (simple, 1.62 relative value units [RVU], Medicare $58.32) and 30903 (complex, 2.25 RVU, Medicare $81). These codes are for unilateral procedures.
When a patient has a bilateral nosebleed, some payers require billing the procedure twice (as two units) with a 50 modifier (bilateral procedure) if control procedures are performed on both sides, while other payers will allow it to be billed only once with a 50 modifier.