Epistaxis

Question:

If I perform a nasal endoscopy to localize the site of a nosebleed, then remove the scope and use a nasal speculum to cauterize, can I report both 31231 and 30901?

Answer:

You should not report both CPT code 31231 and 30901 (Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method) for this procedure.  CPT code 30901 would be the most appropriate choice for cauterizing a nosebleed. 31231 is a diagnostic procedure and includes the parenthetical statement “separate procedure.” This code is included in a more definitive therapeutic/treatment procedure at the same operative session. Report either CPT code 31231 or 30901, but not both codes.

*This response is based on the best information available as of 5/8/25.