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BackTable / ENT / Article
2025 Repair of Nasal Vestibular Stenosis CPT Code
Bryant Schmitz • Updated Jun 30, 2025 • 32 hits
Repair of nasal vestibular stenosis (CPT code 30465) is performed by otolaryngologists or facial plastic surgeons to correct narrowing of the nasal vestibule, often due to trauma, congenital issues, or prior surgery. This procedure restores nasal airflow and structural patency. This article clarifies appropriate coding practices and billing for CPT code 30465.
Table of Contents
(1) CPT Code for Repair of Nasal Vestibular Stenosis
(2) Detailed Description of CPT Code 30465
(3) Coding & Billing Considerations
(4) Why Proper Coding Is Important
(5) What is a CPT Code?
(6) Disclaimer
CPT Code for Repair of Nasal Vestibular Stenosis
The CPT code for nasal vestibular stenosis repair is 30465. This code covers surgical correction of stenosis in the nasal vestibule, including grafts or flaps as needed.
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Detailed Description of CPT Code 30465
CPT Code: 30465
• Code Description: Repair of nasal vestibular stenosis (e.g., with cartilage or soft tissue graft)
• Inclusions: Surgical excision of stenotic tissue in the nasal vestibule, interpositional graft or soft tissue flap placement, debulking and reconstruction for improved airflow
• Exclusions: Rhinoplasty procedures, septoplasty, endonasal valve procedures separate coding (e.g., 30420–30426), turbinate reduction unless coded separately
Coding & Billing Considerations
• Append modifier 51 when billed with other procedures during the same session.
• Use modifier 59 if stenosis repair is distinct from other nasal procedures performed concurrently.
• Document the nature and extent of stenosis, graft or flap type, and reconstruction technique.
• Do not bundle with septoplasty or rhinoplasty unless performed separately and coded appropriately.
• Specify if cartilage graft was harvested and donor site documented.
• Confirm payer coverage for graft/flap procedures in nasal vestibular repair.
Why Proper Coding Is Important
Accurate coding with CPT code 30465 ensures correct reimbursement and reduces claim denials by distinguishing vestibular repair from broader nasal surgeries. It supports precise documentation of surgical technique and enhances clarity in patient records. Proper code selection promotes compliance with payer policies and improves communication among clinical and billing teams.
What is a CPT Code?
CPT stands for Current Procedural Terminology. These codes are used by medical professionals to describe procedures and services performed. CPT codes are crucial for the billing process, allowing healthcare providers to communicate with insurance companies and other payers about the procedures performed.
Disclaimer
The information provided here reflects our understanding of the procedure(s) and/or device(s). This information should not be construed as authoritative. We encourage you to consult CMS.
Podcast Contributors
Dr. Stan McClurg
Dr. Stan McClurg is a private practice rhinologist at Ascentist Healthcare in Kansas City.
Dr. Ashley Agan
Dr. Ashley Agan is an otolaryngologist in Dallas, TX.
Dr. Gopi Shah
Dr. Gopi Shah is a pediatric otolaryngologist and the co-host of BackTable ENT.
Cite This Podcast
BackTable, LLC (Producer). (2022, November 15). Ep. 77 – In-Office Procedures for Chronic Rhinitis [Audio podcast]. Retrieved from https://www.backtable.com
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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