{"id":1600,"date":"2025-06-30T13:30:34","date_gmt":"2025-06-30T13:30:34","guid":{"rendered":"https:\/\/nasalseptal.com\/?page_id=1600"},"modified":"2026-02-26T06:02:39","modified_gmt":"2026-02-26T06:02:39","slug":"billing-codes-2","status":"publish","type":"page","link":"https:\/\/nasalseptal.com\/?page_id=1600","title":{"rendered":"Billing Codes"},"content":{"rendered":"

[et_pb_section fb_built=”1″ _builder_version=”4.6.5″ _module_preset=”default” background_color=”#72c054″ custom_padding=”0px||0px|||” locked=”off”][et_pb_row _builder_version=”4.6.5″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.6.5″ _module_preset=”default”][et_pb_text _builder_version=”4.6.5″ _module_preset=”default” text_font=”|300|||||||” text_text_color=”#FFFFFF” text_font_size=”52px” text_line_height=”1.2em” text_orientation=”center” text_font_size_tablet=”” text_font_size_phone=”34px” text_font_size_last_edited=”on|phone”]Billing Codes[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.6.5″ _module_preset=”default” locked=”off”][et_pb_row _builder_version=”4.6.5″ _module_preset=”default” width=”100%” hover_enabled=”0″ custom_css_main_element_last_edited=”on|phone” custom_css_main_element_phone=”max-width:90%;||overflow:scroll;||white-space:nowrap;” sticky_enabled=”0″][et_pb_column type=”4_4″ _builder_version=”4.6.5″ _module_preset=”default”][et_pb_code _builder_version=”4.6.5″ _module_preset=”default” hover_enabled=”0″ sticky_enabled=”0″]<\/p>\n<\/p>\n<\/p>\n<\/p>\n<\/p>\n<\/p>\n<\/p>\n<\/p>\n<\/p>\n<\/p>\n<\/p>\n
2<\/span>0<\/span>2<\/span>6<\/span> Blom-Singer<\/span>\u00ae<\/sup><\/span> Nasal Septal <\/span><\/span><\/strong>
Perforation Prosthesis<\/span><\/strong><\/th>\n

<\/p>\n

Ambulatory <\/strong><\/span><\/pee>Surgery Center<\/strong><\/span><\/pee><\/th>\n

<\/p>\n

Outpatient Surgery<\/strong> <\/span><\/pee>at Hospital<\/span><\/strong><\/pee><\/th>\n

<\/p>\n

Physician<\/strong><\/span><\/pee>Fee Schedule<\/span><\/strong><\/pee><\/th>\n

<\/tr>\n

<\/p>\n

CPT Code<\/span><\/strong><\/td>\n

<\/p>\n

Procedure Description<\/span><\/strong><\/pee><\/td>\n

<\/p>\n

Facility Payment<\/span><\/strong>(National Medicare Average)<\/span><\/td>\n

<\/p>\n

APC<\/strong><\/span>(Ambulatory Payment Classifications)<\/span><\/td>\n

<\/p>\n

Payment<\/strong><\/span>(National Medicare Average)<\/span><\/td>\n

<\/tr>\n

<\/p>\n

30220<\/span><\/span><\/td>\n

<\/p>\n

Insertion Nasal Septal Prosthesis<\/span><\/pee><\/td>\n

<\/p>\n

$659.17<\/span><\/span><\/td>\n

<\/p>\n

$686.92<\/span><\/span><\/td>\n

<\/p>\n

$261.85 – $407.40<\/span><\/span><\/td>\n

<\/tr>\n

<\/p>\n

31231<\/span><\/span><\/td>\n

<\/p>\n

Nasal Endoscopy, Diagnostic,<\/pee>Unilateral or Bilateral<\/pee><\/pee><\/td>\n

<\/p>\n

$104.73<\/span><\/span><\/td>\n

<\/p>\n

$139.29<\/span><\/span><\/td>\n

<\/p>\n

$207.40\u2013$300.00<\/span><\/td>\n

<\/tr>\n

<\/p>\n

HCPC Code<\/strong><\/span><\/td>\n

<\/p>\n

HCPCS Short Description<\/strong><\/span><\/td>\n

<\/p>\n

Description<\/strong><\/span><\/td>\n

<\/p>\n

Fee Schedule<\/strong><\/span>(National Medicare Average)<\/span><\/span><\/td>\n

<\/tr>\n

<\/p>\n

L8699<\/span><\/span><\/td>\n

<\/p>\n

Nasal Septal Prosthesis<\/span><\/span><\/td>\n

<\/p>\n

A removable superficial prosthesis which occludes<\/span><\/pee> a hole in the nasal septum but which does not <\/span><\/pee>include superficial nasal tissue.<\/span><\/pee><\/td>\n

<\/p>\n

80% of product<\/span><\/span> retail price<\/span><\/span><\/td>\n

<\/tr>\n

<\/p>\n

HCPC Code<\/strong><\/span><\/td>\n

<\/p>\n

HCPCS Short Description<\/strong><\/span><\/td>\n

<\/p>\n

Description<\/strong><\/span><\/strong><\/span><\/td>\n

<\/p>\n

Fee Schedule<\/strong><\/span><\/pee>(National Medicare Average)<\/span><\/span><\/pee><\/td>\n

<\/tr>\n

<\/p>\n

L8699<\/pee><\/td>\n

<\/p>\n

Prosthetic Implant NOS<\/span><\/td>\n

<\/p>\n

Prosthesis implant, not otherwise specified<\/span><\/span><\/strong><\/span><\/td>\n

<\/p>\n

80% of product <\/span><\/pee>retail price<\/span><\/pee><\/td>\n

<\/tr>\n

<\/tbody>\n

<\/table>\n

[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.6.5″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.6.5″ _module_preset=”default”][et_pb_text _builder_version=”4.6.5″ _module_preset=”default” text_font_size=”22px” text_line_height=”1.5em” header_2_font=”|700|||||||” custom_padding=”||||false|false”]<\/p>\n

Blom-Singer\u00ae Nasal Septal Perforation Prosthesis<\/h2>\n

According to PDAC and CMS, HCPCS L8047 is allowed once every five years.
If the physician changes the device sooner, they are able to submit the claim, along with a Medical Necessity explanation. <\/span>
The physician is able to submit a claim for their service, using CPT 30220, as needed (no limitation).<\/span>
Reimbursement information is applicable solely to the U.S. market and is subject to change.<\/span><\/p>\n

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