Aetna Ends Long Term Bundle of 30930 With 30520

A major insurer will now pay for turbinate fracture in addition to septoplasty.  Thanks to advocacy from the American Academy of Otolaryngology–Head and Neck Surgeons (AAO-HNS), Aetna has overturned its coverage position on 30520 and 30930 billed on the same date of service.

For years, Aetna has incorrectly been bundling 30930 (Fracture nasal inferior turbinate(s), therapeutic) into 30520 (Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft). There are no National Coding Initiative Edits (CCI) on the code pair. AAO-HNS members can read more about the change at http://www.entnet.org/login.cfm.

Share:

More Posts

ICD-10 Data: Does It Matter?

It is often argued that ICD-10 coding does nothing for the patient. Recently that point was made at the U.S. House Energy & Commerce Subcommittee on Health hearing “Examining ICD-10 Implementation” last week.

Read More »