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Wiki Hemilaryngectomy

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jackjones62

Expert
Messages
296
Location
Torrington, CT
Best answers
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I would bill this operative note as follows:

CPT 31561 - Laryngoscopy, direct, operative, w/arytoidectomy w/operating microscope
CPT 31541 - 59 Laryngoscopy, direct, operative w/excision of tumor and/or stripping of vocal cords or epiglottis w/operating microscope

There are no CCI edits, both procedures were performed during the same operative session but distinct, hence the use of modifier 59. If a denial for one or the other is received, appeal, these should both be payable.

Jennifer
CT ENT
 
My personal opinion is no, "hemi" means half, did your surgeon remove have of the larynx? not that I read, so based on my coding experience, this was a microlaryngoscopy with artenoidectomy and excision of tumor/vocal cords & part epiglottis and CPT 31561 & 31541-59 adequately describe the procedures performed in the operative report provided.

Jennifer
CT ENT
 
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