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2025 CPT code 31505

Laryngoscopy, indirect; diagnostic (separate procedure).

This code is for a diagnostic indirect laryngoscopy performed as a separate procedure. Do not report it if performed as part of another service. Other codes exist for indirect laryngoscopy with biopsy, removal of a foreign body, removal of a lesion, or vocal cord injection.

Modifiers may be applicable. Refer to current CPT guidelines for appropriate usage.

Medical necessity for this procedure must be established by documenting the patient's symptoms or clinical condition that warrants visualization of the larynx, such as hoarseness, dysphagia, or suspected foreign body.

The clinician prepares the patient, administers any necessary anesthesia (typically topical), inserts the laryngeal mirror, and uses a light to view the laryngeal and hypopharyngeal structures, including the vocal folds. This is a diagnostic procedure.

In simple words: The doctor uses a small mirror and a light to look at the inside of your voice box. This helps them check for any problems.

Indirect laryngoscopy is a diagnostic procedure performed to examine the larynx (voice box) and surrounding structures. The physician uses a small, long-handled mirror inserted into the throat, along with a light source, to visualize the larynx indirectly.

Example 1: A patient presents with persistent hoarseness. An indirect laryngoscopy is performed to visualize the vocal cords and assess for any lesions or abnormalities., A child experiences difficulty swallowing. An indirect laryngoscopy is performed to evaluate the larynx and surrounding areas for any obstruction or inflammation., A patient reports a foreign body sensation in the throat. An indirect laryngoscopy is used to examine the larynx and determine if a foreign object is present.

Documentation should include the reason for the procedure, the findings of the laryngoscopy, and any associated symptoms or diagnoses. If topical anesthesia is used, it should also be documented.

** This procedure is typically performed in an office setting. It is less invasive than direct laryngoscopy.

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