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what is the correct cpt code for a direct laryngoscopy with vocal cord stripping using the operating microscope

by Ms. Mabel Fisher Published 3 years ago Updated 2 years ago

31545

What are the different categories of laryngoscopy?

31536 in category: Laryngoscopy, direct, operative, with biopsy. 31540 in category: Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis. 31541 in category: Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis.

Do you have options for coding laryngoscopies?

If you look in the CPT manual, you have many options for coding laryngoscopies based on the “type” of laryngoscopy performed. Can you tell the difference between a flexible, indirect, and direct laryngoscopy?

What is the CPT code for microlaryngoscopy?

Microlaryngoscopy is quite a short operation and usually takes less than 30 minutes. In this regard, what is the CPT code for laryngoscopy? Laryngoscopy procedures are coded using CPT 31505-31579. What is the difference between direct and indirect laryngoscopy?

What is a direct laryngoscopy?

A direct laryngoscopy involves the use of a “rigid” scope to examine the larynx. The physician passes the scope into the mouth and down into the larynx to directly visualize the structures of the larynx through the scope. This type of laryngoscopy is performed under anesthesia in an operating/procedure room.

What is the CPT code for direct laryngoscopy with stripping of vocal cords?

31541CPT® 31541 in section: Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis.

What does CPT code 31536 mean?

The Current Procedural Terminology (CPT®) code 31536 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy Procedures on the Larynx.

What is procedure code 31575?

CPT31575Laryngoscopy, flexible; diagnosticICD-10 DiagnosisAll diagnoses1 more row

Does CPT code 31541 include biopsy?

How do I code? Georgia Subscriber Answer: Use only code 31541 (Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope). The other biopsy code 31535 (Laryngoscopy, direct...

How do you perform a direct Laryngoscopy?

TechniqueOne must first properly position the patient. ... Next, one must open the patient's mouth by using the right hand. ... The laryngoscope is then inserted in the right side of the mouth, and the blade is then used to sweep the tongue to the left, then the blade is smoothly advanced to the epiglottis.More items...•Oct 27, 2021

What is the CPT code for direct Laryngoscopy with microscope removal of tumor?

31541 — Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope.Oct 16, 2018

What is the CPT code 31622?

CPT® 31622, Under Endoscopy Procedures on the Trachea and Bronchi. The Current Procedural Terminology (CPT®) code 31622 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy Procedures on the Trachea and Bronchi.

What is the CPT code 31231?

Nasal EndoscopyNasal Endoscopy - CPT 31231.

What is the CPT code for direct operative laryngoscopy with foreign body removal with operating microscope?

CPT® 31531 in section: Laryngoscopy, direct, operative, with foreign body removal.

What is the CPT code for laryngoscopy with biopsy?

31536 in category: Laryngoscopy, direct, operative, with biopsy.

What is the CPT code for tonsillectomy and adenoidectomy?

42820CPT® Code 42820 in section: Tonsillectomy and adenoidectomy.

What is the CPT code for tracheostomy?

Tracheostomy. Code 31600 Tracheostomy, planned (separate procedure) describes a planned tracheostomy; however, if the patient is under 2 years of age, 31601 should be used. Code 31600 is reported for “percutaneous” tracheostomy as well. This procedure can be performed with or without a bronchoscope.Nov 11, 2020

What is laryngoscopy performed under?

This type of laryngoscopy is performed under anesthesia in an operating/procedure room. This type of laryngoscopy may also involve the use of an operating microscope or telescope in conjunction with the scope to magnify the structures being examined.

What is a flexible laryngoscope?

A flexible laryngoscopy use s a thin flexible tube to examine the larynx. The operative report often uses the “word” flexible when describing this type of laryngoscopy, but the term “fiber optic laryngoscope” can be another good clue that you are looking at a flexible laryngoscopy since the fiberoptic scope is a flexible scope.

How does indirect laryngoscopy work?

An indirect laryngoscopy involves the use of a mirror to indirectly see and examine the larynx. The physician places the mirror towards the back of the throat and shines a light onto the mirror’s surface which allows him to indirectly see the structures of the throat and the larynx.

Which laryngoscope is best for laser surgery?

Dedo laryngoscope: The "workhorse" provides adequate exposure of the glottis in most patients; limited for laser surgery by absence of smoke evacuation port. Ossoff-Karlan laryngoscopes: Good exposure but cannot be used in all patients because of larger size; best for laser surgery because of smoke evacuation port.

What is a polyp?

Polyps are usually superficial lesions and often are associated with a "feeding blood vessel". Preservation of all of the abnormal epithelium overlying the polyp is usually not useful. Endoscopic suturing or use of fibrin glue to reapproximate epithelium after removal is of questionable benefit.

Is a biopsy of a suspected cancer more likely to result in dysphonia than a small biopsy

A large biopsy of a cancer to be treated with irradiation is more likely to result in greater dysphonia than a small biopsy. A small biopsy of a suspected cancer does not sample the lesion as well as an excisional biopsy.

Is Kenalog 10 good for laryngology?

Although it is not clearly established to be of value, placement of Kenalog 10 into or onto the surgical bed may be beneficial in selected cases. Respect the principle of unilateral surgery in laryngology, with care to avoid creating opposed raw surfaces on both vocal folds. This leads to scarring and stenosis.

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