CPT® Code 31238

Nasal/sinus endoscopy with control of nasal hemorrhage, as described by CPT® Code 31238, is a surgical procedure that involves the use of an endoscope to visualize the nasal cavity and sinuses. This procedure is typically performed to address significant nasal bleeding, which can arise from various causes, including trauma, surgery, or underlying medical conditions. During the procedure, a topical nasal decongestant is applied to reduce swelling and facilitate better visualization. Additionally, a local anesthetic with a vasoconstrictor is administered to minimize discomfort and control blood flow to the area. The endoscope, a thin, flexible tube equipped with a light and camera, is then carefully introduced through the nostril, allowing the physician to inspect the nasal cavity thoroughly. Any sites of bleeding are identified, and various techniques, such as cautery or nasal packing, are employed to effectively control the hemorrhage. The procedure may also involve the use of a camera to capture images, which can be displayed on a video monitor or recorded for further analysis. This comprehensive approach ensures that the underlying causes of nasal bleeding are addressed effectively while providing a clear view of the nasal anatomy for the physician.