CPT® Code 31237

The procedure described by CPT® Code 31237 refers to a surgical nasal and sinus endoscopy that includes the performance of a biopsy, polypectomy, or debridement as a separate procedure. This minimally invasive technique involves the use of an endoscope, which is a specialized instrument equipped with a camera and light source, allowing for direct visualization of the nasal cavity and paranasal sinuses. Prior to the procedure, a topical nasal decongestant and local anesthetic, often combined with a vasoconstrictor, are administered to minimize discomfort and reduce bleeding during the examination. The endoscope is carefully introduced through the nostril, enabling the physician to inspect the nasal passages and sinuses for any signs of disease, abnormalities, or obstructions. During this examination, tissue samples may be collected for laboratory analysis to diagnose potential conditions. If polyps or other abnormal growths are identified, they can be excised using various tools such as suction devices, grasping forceps, or a microdebrider. Additionally, any debris or devitalized tissue present in the nasal cavity and the maxillary, ethmoid, and sphenoid sinuses is meticulously removed to promote better airflow and sinus drainage. To manage any bleeding that may occur during the procedure, nasal packing is utilized, and plastic splints may be placed within the nasal passages to support healing post-operatively. The endoscopic procedure can also be enhanced by the use of a camera, allowing for real-time visualization on a video monitor, with the option to record the images for further review or documentation.