Palate reduction with Coblator

What CPT® code would I use for a palate reduction with Coblator.
Thanks

Aug 27th, 2012 - nmaguire 2,606

re: Palate reduction with Coblator

have you looked at 41530?

Aug 27th, 2012 - Olerip56 15

re: Palate reduction with Coblator

That is the code I used. Medicare has denied this stating: Procedure/treatment has not been deemed 'proven to be effective' by the payer.

Aug 27th, 2012 - nmaguire 2,606

re: Palate reduction with Coblator

this is true, many do not pay based on same reason.

Aug 27th, 2012 -

re: Palate reduction with Coblator

Use an unlisted code (eg, 42299) for this procedure (palate reduction using radiofrequency/Coblator). CPT® 41530 is for radiofrequency/Coblation of the base of tongue - not the same anatomical location as palate. Many payors do not pay for the palate procedure or base of tongue procedure as they consider it "investigational" or "not medically necessary" particularly when diagnosis is snoring (rather than sleep apnea).

Kim Pollock, RN, MBA, CPC
KarenZupko & Associates, Inc.
www.karenzupko.com