CPT® Code 31087

The CPT® Code 31087 refers to a surgical procedure known as a nonobliterative frontal sinusotomy performed through a coronal incision. This procedure is specifically designed to access the frontal sinus, which is located in the forehead area, to treat conditions such as chronic sinusitis or other diseases affecting the sinus. The term "nonobliterative" indicates that the procedure aims to preserve the sinus's natural anatomy rather than permanently close it off. The coronal incision, which runs from one ear to the other along the hairline, allows for a broad and unobstructed view of the surgical field. This approach is particularly advantageous as it minimizes trauma to the surrounding tissues and provides adequate access to the frontal bone and sinus. During the procedure, the surgeon elevates the temporalis fascia and fat pad while carefully protecting the facial nerve branches, ensuring that the surrounding structures remain intact. The frontal bone is then opened to expose the frontal sinus, allowing for the removal of any purulent material and diseased tissue. The mucosa is completely ablated to promote healing and prevent future complications. After the necessary interventions, the bone flap is replaced and secured, followed by layered closure of the soft tissues and skin. This meticulous approach is essential for achieving optimal surgical outcomes and facilitating recovery.