Start New EnglishEspañol中文РусскийالعربيةTiếng ViệtFrançaisDeutsch한국어Tagalog Library Performance

2025 CPT code 31375

Laterovertical partial laryngectomy (hemilaryngectomy): removal of a vocal cord and adjacent cartilage.

Refer to the AMA CPT® manual for detailed coding guidelines and instructions.Accurate coding requires adherence to the specific definitions and descriptions of this procedure.

Modifiers may apply depending on the circumstances of the procedure. Consult the CPT® guidelines for modifier usage.

Medical necessity for a laterovertical partial laryngectomy is established by the presence of a cancerous or precancerous lesion within the larynx that requires surgical removal to prevent further growth or spread.The procedure is medically necessary when other less invasive treatments are not appropriate.

The surgeon is responsible for pre-operative planning, including the tracheostomy, the incision and excision of the diseased tissue, and the closure of the wound. Anesthesiologist and other surgical team members will have responsibilities as well.

IMPORTANT Related codes include 31370 (horizontal partial laryngectomy), 31380 (anterovertical partial laryngectomy), and 31382 (antero-latero-vertical partial laryngectomy).These codes represent different extents of laryngeal resection.

In simple words: This surgery removes part of the voice box (larynx), including a vocal cord and some nearby cartilage.A temporary breathing tube is placed in the windpipe before surgery to help the patient breathe. The surgeon makes cuts in the neck, removes the diseased part of the voice box, and closes the area with stitches.

Laterovertical partial laryngectomy, also known as hemilaryngectomy, involves the surgical removal of a portion of the larynx, specifically a vocal cord and the associated cartilage.The procedure typically begins with a tracheostomy to ensure airway patency during surgery. An incision is made through the neck muscles, followed by a lateral incision at the diseased area of the larynx.The diseased tissue, including the vocal cord and adjacent cartilage, is excised. The incision is then closed with sutures.

Example 1: A 60-year-old male presents with a vocal cord lesion consistent with early-stage laryngeal cancer.A laterovertical partial laryngectomy (31375) is performed to remove the tumor and preserve laryngeal function as much as possible., A 72-year-old female with a history of smoking is diagnosed with a moderately sized tumor in the right vocal cord.A laterovertical partial laryngectomy (31375) is performed, and a tracheostomy is created to aid breathing during and immediately after the operation., A 55-year-old male diagnosed with a small, localized tumor on his left vocal cord undergoes a laterovertical partial laryngectomy (31375).Post-operative speech therapy is recommended to help restore vocal function.

Preoperative evaluation including imaging (e.g., CT scan, MRI), biopsy results confirming diagnosis, operative report detailing the extent of resection, pathology report confirming clear margins, and postoperative recovery notes.

** The extent of resection in a laterovertical partial laryngectomy can vary depending on the location and size of the tumor.Accurate coding requires detailed documentation of the procedure performed.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

Discover what matters.

iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.