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Thread: Hemilaryngectomy

  1. #1


    AAPC: Back to School
    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.

    CT ENT

  2. #2
    Join Date
    Apr 2007
    Stuart Sailfish Chapter


    My finding are the same Jennifer.
    Candice Fenildo, CPC, CPMA, CPB, CENTC, CPC-I
    AAPC Chapter Association Board of Directors ( Chair)
    Region 6, Wisconsin, Minnesota, Illinois, Indiana, Michigan, Ohio

    "Nothing is stronger than the heart of a volunteer"

  3. #3


    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.

    CT ENT

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