2025 CPT code 31365
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Respiratory System Surgery Feed
Total laryngectomy with radical neck dissection.
Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (modifier 22) or multiple procedures (modifier 51).
Medical necessity is established by the diagnosis of a condition requiring total laryngectomy with radical neck dissection, such as advanced laryngeal cancer, recurrent laryngeal tumor, or other conditions where less extensive procedures are not adequate.
The surgeon is responsible for performing the tracheostomy, making the neck incision, removing the larynx and surrounding tissues, and closing the wound.
In simple words: The surgeon removes the voice box and lymph nodes in the neck.A new airway is created to allow the patient to breathe.This procedure is typically done to treat advanced laryngeal cancer.
This procedure involves the complete removal of the larynx (voice box) along with a radical neck dissection, which includes the removal of lymph nodes and surrounding tissues in the neck.A tracheostomy is typically performed to allow the patient to breathe.The procedure involves an incision in the neck, division of neck muscles, possible removal of the hyoid bone, detachment of the thyroid isthmus from the trachea, and extensive excision of diseased tissue.
Example 1: A patient with advanced laryngeal cancer undergoes total laryngectomy with radical neck dissection to remove the tumor and affected lymph nodes., A patient with a recurrent laryngeal tumor after radiation therapy undergoes total laryngectomy with radical neck dissection as a salvage procedure., A patient with a large, aggressive laryngeal tumor requires total laryngectomy with radical neck dissection for complete tumor removal.
Documentation should include the diagnosis, operative report detailing the extent of the procedure, including the type of neck dissection performed, and any complications encountered.
- Payment Status: Active
- Specialties:Otolaryngology, Head and Neck Surgery
- Place of Service:Inpatient Hospital