2025 CPT code 31375
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Respiratory System Surgery Feed
Laterovertical partial laryngectomy (hemilaryngectomy): removal of a vocal cord and adjacent cartilage.
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.
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.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information requires access to a specific fee schedule and may vary based on geographic location and payer.
- Global Days : The global period for this procedure needs to be determined based on the specific payer and local guidelines.It will likely include pre and postoperative care.
- Payment Status: Active
- Modifier TC rule: The application of TC (Technical Component) modifier depends on the specific circumstances and should be determined in accordance with the payer's guidelines.
- Fee Schedule : Historical fee schedule data for this CPT code will vary depending on the payer and year.Consult relevant fee schedules for historical data.
- Specialties:Otolaryngology, Head and Neck Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Outpatient Hospital