CPT® Code 31239

The procedure described by CPT® Code 31239 refers to a surgical nasal and sinus endoscopy that includes a dacryocystorhinostomy. This surgical intervention is primarily indicated for patients experiencing a blockage in the nasolacrimal duct, which impedes the normal flow of tears. The goal of the procedure is to restore this flow by creating a new canal for tear drainage. During the operation, a topical nasal decongestant may be applied to reduce swelling and facilitate access to the nasal passages. Additionally, a local anesthetic with a vasoconstrictor is utilized to minimize discomfort and control bleeding during the procedure. The use of a fiberoptic light probe allows the surgeon to visualize the lacrimal sac through the canaliculus, which is the small duct that carries tears from the eye to the nasal cavity. The endoscopic approach enables the surgeon to navigate the nasal anatomy effectively, ensuring precise removal of tissue and bone to create a new pathway for tear drainage. This procedure is essential for alleviating symptoms associated with tear duct obstruction, such as excessive tearing or recurrent infections, thereby improving the patient's quality of life.