Balloon Sinuplasty™ In-Office

Partnering with the ENT specialty to deliver the future of sinus intervention


Clinical Benefits to an Expanded Patient Populations

  • Restore normal sinus drainage and function without bone or tissue removal, which preserves future treatment options
  • Offer a differentiated option for patients who decline or are ineligible for traditional surgery
  • Perform BSP In-Office Procedures within your comfortable office setting under local anesthetic
  • Consider the opportunity for earlier intervention when medical therapy has failed
  • Lower the financial burden for eligible patients (reduced copay and procedural costs)*


Practice Efficiency

  • Control all aspects of the procedure
  • Increase your productivity and reduce delays
  • Facilitate smooth procedures and positive patient experiences with a prepared office staff


Time-tested Technology

  • The only intranasal balloon dilation system tested in a 2-year, multicenter clinical trial (OR setting)1
  • Office-based clinical studies have demonstrated high safety, effectiveness, tolerability and patient satisfaction2
  • BSP In-Office differentiates you to current and future referring PCPs, building the critical foundation for success


Enduring Acclarent Partnership

  • Acclarent programs ensure procedure and office transition success
  • Committed teams facilitate staff preparedness resulting in smooth procedures and positive patient experiences
  • Innovative technologies satisfy your patients’ demands for the latest advances in minimally-invasive care
  • Dedicated national programs accelerate awareness among patients and referring physicians


Reimbursement Highlights

Balloon-only FESS payment rates are appropriate and adequate to support BSP in your office.

In facility-based “hybrid” FESS procedures, balloon catheter instruments may continue to be used as adjuncts to traditional tools.

FESS_Reimbursement_2012

All codes shown are unilateral (-50 modifier may be used for bilateral procedures, -51 modifier may be used for multiple procedures).

FESS Code Descriptions 2012

Additional Information

  • Balloon-only CPT codes may be used in conjunction with traditional FESS CPT codes for separate sinuses in a common procedure.
  • Balloon-only CPT codes may not be used in conjunction with traditional FESS CPT codes in a single sinus.
  • Per AAO-HNSF coding guidelines, the use of balloon catheter tools may be coded with traditional FESS CPT codes when 1) balloon catheter instruments are used in conjunction with other tools and 2) tissue is removed as part of intervention on that sinus.

Download this information here [PDF]


1Weiss, et al, “Long-term outcome analysis of balloon catheter sinusotomy: Two-year follow-up.” Otolaryngology-Head and Neck Surgery; 2008, (139)3S3: S38-S46.

2Albritton, F et al. "Feasibility of in-office endoscopic sinus surgery with balloon sinus dilation." Am J Rhinol Allergy; 2012, 26: 1-6.
ORIOS 2 Study. Data on File.


*Some eligible patients may have lower out-of-pocket costs if the procedure is performed in a lower cost of care setting, such as a physician's office.


The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Acclarent concerning levels of reimbursement, payment or charge. All codes are supplied for informational purposes only and represent no statement, promise, or guarantee by Acclarent that these codes will be appropriate or that reimbursement will be made. It is not intended to increase or maximize reimbursement by any payor. We strongly recommend that you consult your payor organization with regard to its reimbursement policies.


CPT codes and descriptions only are copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. No fee schedules, basic units, relative values or related listings are included in CPT. AMA assumes no liability for data contained or not contained herein. Payments to physicians vary depending on geographic location and payor and are subject to change. Relative Value Unit information is taken from the CMS 2012 National Physician Fee Schedule Relative Value File (CMS-1524-FC) released 11-4-2011. The Medicare Physician Fee Schedule (MPFS) payment amounts indicated are based on these RVU values and the Conversion Factor of 34.0376, which applies to services rendered after 2-28-2012.