CPT® Code 30220

The procedure described by CPT® Code 30220 involves the insertion of a nasal septal prosthesis, commonly known as a button prosthesis. This intervention is specifically aimed at addressing nasal septal perforations, which are openings or defects in the nasal septum that can lead to various complications, including nasal obstruction, crusting, and discomfort. The button prosthesis serves as a means to close the perforation, providing either temporary or long-term relief depending on the patient's surgical risk profile. In cases where patients are not ideal candidates for more invasive surgical options, the button prosthesis can be utilized for extended periods. The procedure typically begins with the administration of a topical nasal decongestant to facilitate easier access and a local anesthetic to minimize discomfort during the insertion process. The physician may use either a prefabricated or custom-made button, with the former requiring precise measurement and trimming to ensure a proper fit. The insertion technique involves placing the button in the defect with its flanges positioned against the upper lateral cartilage and septal junction, ensuring stability and effectiveness in closing the perforation. This procedure is crucial for improving the quality of life for patients suffering from nasal septal defects.