Reimbursement Tools and Resources

Acclarent has created various resources to provide general reimbursement information associated with sinus surgery and airway dilation procedures.

Balloon Sinuplasty Reimbursement Highlights

Balloon-only ESS payment rates are appropriate and adequate to support Balloon Sinuplasty In-Office.

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

Additional Information

  • Balloon-only CPT® codes may be used in conjunction with traditional ESS CPT® codes for separate sinuses in a common procedure
  • Balloon-only CPT® codes may not be used in conjunction with traditional ESS CPT® codes in a single sinus
  • Per AAO-HNSF coding guidelines, the use of balloon catheter tools may be coded with traditional ESS 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
Eustachian Tube Balloon Dilation