Summary & Overview
CPT 4052F: Unspecified CPT Service Entry
CPT code 4052F is a CPT-coded service entry for which no descriptive summary was provided in the source input. Nationally, accurate labeling and mapping of CPT codes matter for claims processing, quality measurement, and clinical documentation, so unspecified or undocumented codes can affect billing clarity and payer adjudication. Key payers considered in the national context include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of what this code represents in available source material, note gaps where input data are missing, and guidance on typical topics that accompany billing-code analyses such as payer coverage patterns, common clinical contexts, and related administrative details. This publication does not provide clinical recommendations. It highlights where information is complete and where source data are absent, and it outlines the kinds of benchmarks and policy or coding updates that users typically review when a code lacks an explicit summary. Data not available in the input is identified and omitted rather than inferred.
Billing Code Overview
CPT code 4052F has no summary available in the source description. Based on the code label, this entry represents a CPT Category II-style format (numeric with a trailing letter) but is classified here as a CPT code. Service type: Data not available in the input. Typical site of service: Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult referred to a specialty clinic for evaluation of chronic sinonasal symptoms refractory to medical therapy. The patient presents with persistent nasal obstruction, recurrent sinus infections, facial pressure, and decreased olfaction despite prior topical steroid sprays and antibiotics. Endoscopic nasal examination demonstrates obstructive mucosal disease and possible polypoid change. The clinical workflow begins with history and focused nasal endoscopy in clinic, diagnostic nasal endoscopy with possible culture, topical decongestant assessment, and imaging review (CT sinus). If endoscopic findings and CT correlate with obstructive chronic rhinosinusitis or sinonasal polyposis, the patient is scheduled for endoscopic sinus surgery under general anesthesia. Preoperative documentation includes informed consent, operative indication, comorbidity assessment, and relevant ICD-10 diagnoses. Intraoperative steps include diagnostic endoscopy, targeted removal or trimming of obstructive tissue, restoration of sinus ventilation, hemostasis, and placement of packing or stents if indicated. Postoperative documentation captures the procedures performed, laterality, any intraoperative complications, and specific devices used to support billing. Typical sites of service are outpatient surgical centers and hospital operating rooms. Common payors covering these services include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable evaluation and management service by the same physician on the day of a procedure |