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reinke's edema

  1. #1
    Default reinke's edema
    Medical Coding Books
    What CPT would be used for laryngoscopy with incision and drainage of reinke's space edema?
    thanks in advance!

  2. #2
    Default Reinke's Space edema
    I think 31515 would work.

  3. #3
    Or 31540? It's hard to know exactly without knowing more of the dictation of actual procedure...

  4. #4
    A laryngoscopy was placed
    in the mouth and visualization of the cords was achieved. The posterior
    glottic area was identified. It was grasped with triangular forceps.
    Portions of the mucosa were biopsied and sent for evaluation. The area
    looked to have changes consistent with parakeratosis to the naked eye.

    Attention was turned to the cords. Edema was seen of both cords, left
    greater than right. A sickle blade was used to incise the _____________ of
    the superior surface of the vocal cord. The area was suctioned free with
    drainage of the edematous material seen within the cords. This was done
    without complication, and done on both sides. After completion, epi
    pledgets were placed to control bleeding.

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