What is nasal endoscopy?


Nasal endoscopy is a simple procedure typically performed in a medical office by an Otolaryngologist, or Ear, Nose and Throat doctor. During the procedure, a spray containing a mixture of a nasal decongestant and topical anesthetic (numbing medication) is first applied inside the patient's nose. This spray temporarily decreases swelling of the nasal tissues and numbs the nasal membranes. After allowing a few minutes for the spray to take effect, a small fiberoptic scope is inserted into each nasal passage to provide excellent visualization of the anatomy. Often, video or photos are obtained during the exam to document findings, as well as to provide a visual aide to help explain findings to the patient.

What are the benefits of nasal endoscopy?

1) Allows a detailed examination of the internal nasal anatomy.

2) Helps determine the cause(s) of nasal obstruction or congestion symptoms.

3) Allows accurate diagnosis of sinusitis.

4) Helps determine the site(s) of nasal bleeding in cases of difficult nosebleeds.

5) Allows diagnosis of nasal polyps or nasal tumors.

What are the risks of nasal endoscopy?

1) Mild and temporary discomfort.

2) Temporary nasal congestion and/or runny nose.

3) Nosebleeds (typically minor).

Does insurance cover my nasal endoscopy?

Insurance covers this procedure, though it may be applied toward your deductible, resulting in an additional out-of-pocket expense above and beyond your office copay. Many patients are confused when they receive their explanation of benefits, as the billing code categorizes this as a "surgical" procedure. This is simply a byproduct of the medical billing system and does not represent an error in billing.

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© 2017 by Jonathan C. Mills, MD