CPT® Code 31256

A surgical nasal/sinus endoscopy with maxillary antrostomy is a specialized procedure that involves the use of an endoscope to visualize and treat conditions affecting the nasal cavity and paranasal sinuses, particularly the maxillary sinus. This procedure is typically indicated for patients experiencing chronic sinusitis or other sinus-related issues that do not respond to conservative treatments. During the procedure, 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 often utilized to minimize discomfort and control bleeding. The endoscope, a thin, flexible tube equipped with a camera and light source, is inserted through the nostril to allow the surgeon to inspect the nasal cavity and sinuses for any abnormalities or disease processes. The procedure specifically involves the removal of the uncinate process, which is a small bone structure in the nasal cavity, to gain access to the maxillary sinus. This access is crucial for performing the maxillary antrostomy, which involves creating an opening in the maxillary sinus to improve drainage and facilitate the removal of diseased tissue. Overall, this procedure aims to alleviate symptoms associated with sinus disease and restore normal sinus function.