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  1. Default
    Medical Coding Books
    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
    Stuart Sailfish Chapter
    My finding are the same Jennifer.
    Candice Fenildo, CPC, CPMA, CPC-I, CPB, CENTC, CRHC, AAPC Fellow
    Director of Operations
    Ear, Nose and Throat Associates of South Florida, PA

    "Nothing is stronger than the heart of a volunteer"

  3. Default
    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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