Summary & Overview
CPT 30560: Intranasal Lysis of Nasal Synechia
CPT code 30560 denotes intranasal lysis of adhesions (removal of nasal synechia) — a targeted surgical procedure to restore nasal patency when scar tissue fuses nasal structures and impairs airflow. This code matters nationally because postoperative or traumatic nasal adhesions are common in otolaryngology practice and represent a discrete, billable intervention across ambulatory surgical centers, hospital outpatient departments, and some office settings. Payers routinely applying coverage and reimbursement policies for this procedure include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn the clinical scope and typical settings for CPT code 30560, how major payers approach coverage of intranasal lysis of adhesions in general terms, and where this service fits within otolaryngology procedural coding. The publication provides benchmarks on utilization and payer coverage patterns, summarizes relevant policy considerations affecting reimbursement and site-of-service selection, and outlines clinical context that drives claims — for example, common indications such as postoperative adhesions, surgical complications, and trauma-related synechia. Data not available in the input indicates that specific associated taxonomies, ICD-10 diagnoses, and related codes are not provided here and should be referenced from payer policy documents when preparing claims.
Billing Code Overview
CPT code 30560 describes surgical removal of nasal synechia (intranasal lysis of adhesions) using an intranasal approach. The procedure removes scar tissue adhesions that obstruct nasal airflow, commonly arising after nasal trauma, prior nasal surgery, or from complications related to nasal packing.
-
Service type: Surgical procedure — intranasal lysis of adhesions
-
Typical site of service: Ambulatory surgical center or hospital outpatient department; may also be performed in an office setting when clinically appropriate
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 42-year-old patient presents to the otolaryngology clinic with progressive unilateral nasal obstruction and intermittent crusting three months after a septorhinoplasty. On anterior rhinoscopy and nasal endoscopy the surgeon identifies a dense intranasal adhesion (synechia) between the lateral nasal wall and the septum, limiting airflow. The patient is scheduled for removal of nasal synechia via an intranasal approach under monitored anesthesia care in an ambulatory surgical center. The clinical workflow includes preoperative evaluation and informed consent, topical vasoconstriction and local anesthesia in the clinic or pre-op area, intraoperative lysis of adhesions using graspers and microdebrider or scissors through the nares, hemostasis with cautery or packing as needed, possible placement of intranasal spacers to prevent re-adhesion, and brief post-anesthesia recovery with discharge instructions and short-term follow-up for wound care and endoscopic inspection.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
11 | Normally expected procedural service | Use for standard, uncomplicated removal of nasal synechia when service was performed as planned |
22 | Increased procedural services |