31300 Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy 31360 Laryngectomy; total, without radical neck dissection
31365 total, with radical neck dissection
31367 subtotal supraglottic, without radical neck dissection 31368 subtotal supraglottic, with radical neck dissection 31370 Partial laryngectomy (hemilaryngectomy); horizontal 31375 laterovertical
31380 anterovertical
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Physician - Procedure Codes, Section 5 - Surgery
31382 antero-latero-vertical
31390 Pharyngolaryngectomy, with radical neck dissection; without reconstruction 31395 with reconstruction
31400 Arytenoidectomy or arytenoidopexy, external approach 31420 Epiglottidectomy
INTRODUCTION
31500 Intubation, endotracheal, emergency procedure ENDOSCOPY
For endoscopic procedures, code appropriate endoscopy of each anatomic site examined. If using operating microscope, telescope, or both, use the applicable code only once per operative session.
31505 Laryngoscopy, indirect; diagnostic (separate procedure) 31510 with biopsy
31511 with removal of foreign body 31512 with removal of lesion
31513 with vocal cord injection
31515 Laryngoscopy, direct, with or without tracheoscopy; for aspiration 31520 diagnostic, newborn
(Do not report 31520 with modifier –63) 31525 diagnostic, except newborn
31526 diagnostic, with operating microscope or telescope 31527 with insertion of obturator
31528 with dilation, initial
31529 with dilation, subsequent
31530 Laryngoscopy, direct, operative, with foreign body removal;
31531 with operating microscope or telescope 31535 Laryngoscopy, direct, operative, with biopsy;
31536 with operating microscope or telescope
31540 Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis;
31541 with operating microscope or telescope
31545 Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s) 31546 reconstruction with graft(s) (includes obtaining autograft)
(Do not report 31546 in addition to 20926 for graft harvest) (Do not report 31545 or 31546 in conjunction with 31540, 31541) 31560 Laryngoscopy, direct, operative, with arytenoidectomy;
31561 with operating microscope or telescope
31570 Laryngoscopy, direct, with injection into vocal cord(s), therapeutic;
31571 with operating microscope or telescope 31575 Laryngoscopy, flexible; diagnostic
31576 with biopsy(ies)
31577 with removal of foreign body(s)
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Physician - Procedure Codes, Section 5 - Surgery
31578 with removal of lesion(s), non-laser
31572 with ablation or destruction of lesion(s) with laser, unilateral
31573 with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral
31574 with injection(s) for augmentation (eg, percutaneous, transoral), unilateral 31579 Laryngoscopy, flexible or rigid telescopic, with stroboscopy
REPAIR
31580 Laryngoplasty; for laryngeal web, two stage, with indwelling keel insertion
31551 for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age
31552 for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older
31553 for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age
31554 for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older 31584 with open reduction and fixation of (eg, plating) of fracture, includes tracheostomy if
performed
31587 Laryngoplasty, cricoid split, without graft placement 31590 Laryngeal reinnervation by neuromuscular pedicle 31591 Laryngoplasty, medialization, unilateral
31592 Cricotracheal resection DESTRUCTION
OTHER PROCEDURES
31599 Unlisted procedure, larynx TRACHEA AND BRONCHI
INCISION
31600 Tracheostomy, planned (separate procedure);
31601 under two years
31603 Tracheostomy, emergency procedure; transtracheal 31605 cricothyroid membrane
31610 Tracheostomy, fenestration procedure with skin flaps
31611 Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice button, Blom-Singer prosthesis)
31612 Tracheal puncture, percutaneous with transtracheal aspiration and/or injection 31613 Tracheostoma revision; simple, without flap rotation
31614 complex, with flap rotation ENDOSCOPY
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Physician - Procedure Codes, Section 5 - Surgery
For endoscopy procedures, code appropriate endoscopy of each anatomic site examined. Surgical bronchoscopy always includes diagnostic bronchoscopy when performed by the same physician.
Codes 31622-31646 include fluoroscopic guidance, when performed.
31615 Tracheobronchoscopy through established tracheostomy incision
31622 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)
31623 with brushing or protected brushings 31624 with bronchial alveolar lavage
31625 with bronchial or endobronchial biopsy(s), single or multiple sites 31626 with placement of fiducial markers, single or multiple
(Report supply of device separately)
31628 with transbronchial lung biopsy(s), single lobe
(31628 should be reported only once regardless of how many transbronchial lung biopsies are performed in a lobe)
31629 with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i)
(31629 should be reported only once for upper airway biopsies regardless of how many transbronchial needle aspiration biopsies are performed in the upper airway or in a lobe) 31630 with tracheal/bronchial dilation or closed reduction of fracture
31631 with placement of tracheal stent(s) (includes tracheal/ bronchial dilation as required) 31632 with transbronchial lung biopsy(s), each additional lobe
(List separately in addition to primary procedure) (Use 31632 in conjunction with 31628)
(31632 should be reported only once regardless of how many transbronchial lung biopsies are performed in a lobe)
31633 with transbronchial needle aspiration biopsy(s), each additional lobe (List separately in addition to primary procedure)
(Use 31633 in conjunction with 31629)
(31633 should be reported only once regardless of how many transbronchial needle aspiration biopsies are performed in the trachea or the additional lobe)
31634 with balloon occlusion, with assessment of air leak, with administration of occlusive substance (eg, fibrin glue), if performed
31635 with removal of foreign body
31636 with placement of bronchial stent(s) (includes tracheal/ bronchial dilation as required), initial bronchus
31637 each additional major bronchus stented
(List separately in addition to primary procedure) (Use 31637 in conjunction with 31636)
31638 with revision of tracheal or bronchial stent inserted at previous session (includes tracheal/bronchial dilation as required)
31640 with excision of tumor
31641 with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)
31643 with placement of catheter(s) for intracavitary radioelement application 31645 with therapeutic aspiration of tracheobronchial tree, initial
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Physician - Procedure Codes, Section 5 - Surgery
31646 with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay 31647 with balloon occlusion, when performed, assessment of air leak, airway sizing, and
insertion of bronchial valve(s), initial lobe
31651 with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion of bronchial valve(s), each additional lobe
(List separately in addition to primary procedure[s]) 31648 with removal of bronchial valve(s), initial lobe
31649 with removal of bronchial valve(s), each additional lobe (List separately in addition to primary procedure)
31652 with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two
mediastinal and/or hilar lymph node stations or structures
31653 with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more
mediastinal and/or hilar lymph node stations or structures 31654 with transendoscopic endobronchial ultrasound (EBUS) during
bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s)
(List separately in addition to code for primary procedure[s])
(Use 31654 in conjunction with 31622, 31623, 31624, 31625, 31626, 31628,31629, 31640, 31643, 31645, 31646)
(For EBUS to access mediastinal or hilar lymph node station(s) of adjacent structure(s), see 31652, 31653)
(Report 31652, 31653, 31654 only once per session) INTRODUCTION
31717 Catheterization with bronchial brush biopsy
31720 Catheter aspiration (separate procedure); nasotreacheal 31725 tracheobronchial with fiberscope, bedside
31730 Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy