Summary & Overview
CPT 30160: Partial Rhinectomy (Partial Removal of Nose)
CPT code 30160 denotes a partial rhinectomy — the surgical removal of part of the external nose. This procedure is clinically significant for management of traumatic injury, malignant or premalignant lesions, and select reconstructive indications. Nationally, codes for nasal resection carry implications for surgical resource utilization, facility planning, and postoperative reconstructive needs.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines what readers will learn about typical settings and service definitions, payer coverage considerations, common modifier usage, and areas where input data is missing. Readers will also find clinical context that clarifies when a partial rhinectomy is distinct from a total rhinectomy and how site-of-service (hospital OR or ambulatory surgical center) affects care pathways.
This summary informs clinicians, billing professionals, and policy analysts about the procedural definition and practical coverage landscape for CPT code 30160, highlights relevant billing considerations, and flags where additional data are required for benchmarking or payer-specific policy interpretation.
Billing Code Overview
CPT code 30160 describes surgical removal of part of the nose, commonly termed a partial rhinectomy. The description distinguishes this procedure from a total rhinectomy, which entails removal of the entire external nose including soft tissue.
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Service type: Surgical excision of nasal structures (partial rhinectomy)
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Typical site of service: Hospital operating room or ambulatory surgical center (outpatient or inpatient surgical setting)
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.
Clinical & Coding Specifications
Clinical Context
A typical patient is a 68-year-old with a biopsy-proven squamous cell carcinoma of the external nose involving the lower lateral cartilages and adjacent skin with recurrent disease after prior Mohs excision. The patient presents for preoperative evaluation in otolaryngology or facial plastic surgery clinic, with review of imaging (CT facial bones or MRI if deep tissue involvement suspected), discussion of oncologic margins, and reconstruction options. On the day of surgery the patient undergoes general anesthesia; the surgical team performs a partial rhinectomy (removal of part of the external nose) to achieve clear margins. Hemostasis is secured, specimens are submitted to pathology with laterality and site documented, and immediate or staged reconstruction (local flap, regional flap, or prosthetic planning) is coordinated with plastic surgery as needed. Typical site of service is an ambulatory surgical center or hospital operating room with expected postoperative monitoring and wound care instructions, pathology follow-up, and postoperative visits for wound check and reconstruction planning.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
11 | Normal or routine service | Use when the procedure is performed as planned without complications. |
22 |