Summary & Overview
CPT 3130F: No Summary Available
CPT code 3130F is listed without a descriptive summary in the available input. As a CPT code entry it represents a specific clinical or performance measure used in billing and reporting; the exact clinical activity and measure intent are not provided here. Nationally, clear definitions for CPT codes are important because they affect claims processing, quality measurement, and uniform reporting across public and private payers. Missing or unclear code descriptions can impede consistent application by providers and payers.
This analysis considers the major national payers: Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the code’s status (absence of a description), the implications of missing descriptive metadata for billing and quality measurement, and guidance on where to look for authoritative definitions. The publication highlights benchmarks and policy considerations relevant to national payers and explains how stakeholders typically reconcile undefined or ambiguous CPT entries in administrative workflows.
Readers will also learn the likely next steps for organizations encountering this code in claims or reporting: verifying definitions with coding authorities, checking payer-specific billing guidance, and updating internal mapping until an authoritative description is obtained.
Billing Code Overview
CPT code 3130F — No Summary found for this code. This entry indicates a CPT performance or clinical measure entry with no descriptive summary available in the input.
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Service Type: Data not available in the input.
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Typical Site of Service: Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult presenting with progressive conductive hearing loss, chronic otitis media with effusion, or recurrent middle ear infections resulting in impaired ventilation of the middle ear. The otolaryngologist evaluates the patient with a history, physical exam including otoscopy, and audiometry showing an air–bone gap or persistent effusion. The clinician discusses tympanostomy tube placement to restore middle ear aeration and prevent recurrent infections. The procedure is performed in an ambulatory surgical center or office procedure room under local anesthesia with or without sedation for adults, and typically under general anesthesia for pediatric patients. The workflow includes preoperative assessment, informed consent, operating microscope or otologic instrumentation, myringotomy, insertion of a tympanostomy tube, immediate postoperative observation, and brief discharge instructions for routine care and activity limitations.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure | Use when a distinct E/M visit is performed and documented the same day as the procedure |
51 |