At times even a combination of medical and non-medical treatment methods may not adequately solve the underlying problem. Whether it is due to structural abnormalities or there is a need to restructure the sinus openings, sometimes surgical procedures are necessary. For those individuals who require surgical intervention, the type of surgery is chosen in conjunction with a sinus specialist to best suit the patient and disease.
Cutler J, Bikhazi N, Light J, Truitt T, Schwartz M. Standalone balloon dilation versus sinus surgery for chronic rhinosinusitis: A prospective, multicenter, randomized, controlled trial. Am J Rhinol Allergy doi.org/10.2500/ajra.2013.27.3970.
Gould JD. In-office balloon dilation: Procedure techniques and outcomes using a malleable multi-sinus dilation tool. Vendome Healthcare Media, 19 Dec 2012.
Cost savings example details :
- 2013 National Average Cost to Medicare for FESS using CPT 31254-50, 31256-50, 31237-50: HOPD Procedure Surgeon fee of $563 + Anesthesiologist fee of $408 + HOPD payment of $5,068 + bilateral post-op debridement fee of $504
- 2014 National Average Cost to Medicare for FESS using CPT 31254-50, 31256-50, 31237-50: HOPD Procedure Surgeon fee of $575 + Anesthesiologist fee of $417 + HOPD payment of $4,701+ bilateral post-op debridement fee of $395 2014 National Average Cost to Medicare for office procedure using CPT 31295-50, 31231: Office Procedure Surgeon fee of $3,156 + bilateral post-op nasal endoscopy fee of $212Medicare office reimbursement fee covers all costs to perform a procedure performed in the office setting (supplies, equipment, labor, time and overhead). Medicare shows the unilateral rate on their website and the bilateral rate is calculated based on the 50% rule for multiple procedures.