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CPT codes reveal the price to repair a septum

The documentation provided with the insurance referral request for my deviated septum surgery was sufficient to provide a method to research the actual costs, at least partially, of these surgical procedures.  I have learned to date that the information I have located really only addresses the cost of the surgeon himself, and the follow up post operative visits.  I am afraid I will have to learn quite a bit more to determine the outpatient hospitalization costs.  This would include the anesthesiologist, surgical assistants, operating room, preparation, and recovery areas, and other medications, surgical gown etc.

The cost for the surgeon can at least be somewhat determined by using the CPT codes for the surgeries involved.  What the heck is a CPT code?  It is the key to the secret world of surgery cost!  Please see:
My cost of surgery to learn more about CPT codes.

Deviated Septum Surgery CPT codes

I have taken the codes from my surgeons referral request and using the procedure described in the "My cost of surgery" page determined the cost of the surgeon for all the various procedure performed for my surgery.  Please remember that this does not include many things as far as I can tell.  You will see totals for the surgery costs that were covered by insurance, and below additional procedures, mainly for snoring abatement, that were not covered by insurance.  When the surgery was done I was charged about $1800 for these additional snoring procedures which covered all post operative expenditures.

CPT Code License Agreement
Medicare Valuation explanation
         Medicare Payment***
Code Description    Non Facility* Facility**
30520 Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft $405.54 $405.54
CPT Assistant.Volume 12, Issue 12, December 2002 
CPT Assistant.Volume 7, Issue 10, October 1997 
31255 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) $420.85 $420.85
CPT Assistant.Volume 12, Issue 12, December 2002 
CPT Assistant.Volume 13, Issue 5, May 2003 
CPT Assistant.Volume 7, Issue 1, January 1997 
CPT Assistant.Volume 7, Issue 9, September 1997 
31267 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus $332.91 $332.91
CPT Assistant.Volume 7, Issue 1, January 1997 
CPT Assistant.Volume 11, Issue 12, December 2001 
30115 Excision, nasal polyp(s), extensive $312.40 $312.40
30140 Submucous resection turbinate, partial or complete, any method $273.95 $273.95
CPT Assistant.Volume 12, Issue 12, December 2002 
CPT Assistant.Volume 13, Issue 4, April 2003 
CPT Assistant.Volume 13, Issue 5, May 2003 
CPT Assistant.Volume 14, Issue 12, December 2004 
31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) $305.95 $184.89
CPT Assistant.Volume 13, Issue 5, May 2003 
CPT Assistant.Volume 3, Issue -1,  1993 
CPT Assistant.Volume 11, Issue 12, December 2001 
Total $2,051.60 $1,930.54
Additional work non-insurance
42140 Uvulectomy, excision of uvula $150.64 $146.82
42145 Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty). Surgery for treating obstructive sleep apnea. It tightens flabby tissues in the throat and palate and expands air passages. $549.53 $549.53
CPT Assistant.Volume 14, Issue 12, December 2004 
**Facility: Includes hospitals (inpatient, outpatient, and emergency department), ambulatory surgical centers (ASCs), and skilled nursing facilities (SNFs).
*Non Facility: Includes all other settings.
***Current Procedural Terminology (CPT) codes, descriptions and other data only are copyright 2002 American Medical Association. All Rights Reserved. CPT is a trademark of the American Medical Association.

So all the above procedures were performed but I still have no idea, YET, of all the other additional surgery and hospital charges involved.

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BHT Created: 11 Aug 2005

BHT Revised: 03 Apr 2017

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