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2025 CPT code 31510

Indirect laryngoscopy with biopsy.

Adhere to current CPT guidelines for reporting endoscopic procedures and laryngoscopy.

Modifiers may be applicable based on circumstances such as multiple procedures (51), reduced services (52), or anesthesia provided by the surgeon (47). Consult CPT guidelines for appropriate modifier use.

Medical necessity for an indirect laryngoscopy with biopsy would be established based on the presence of symptoms suggestive of laryngeal or hypopharyngeal pathology (e.g., hoarseness, dysphagia, hemoptysis, persistent cough, visible lesions), and the need for tissue sampling for definitive diagnosis.

The physician performs the indirect laryngoscopy using a mirror and light source to visualize the larynx and hypopharynx.They then use biopsy forceps to collect tissue samples from any suspicious areas.The tissue samples are sent to a laboratory for analysis.

IMPORTANT:31505 (diagnostic indirect laryngoscopy), 31511 (indirect laryngoscopy with foreign body removal), 31512 (indirect laryngoscopy with lesion removal), 31513 (indirect laryngoscopy with vocal cord injection)

In simple words: The doctor uses a mirror to look at your voice box and throat without inserting any instruments.They may also take a small tissue sample for testing.

Indirect laryngoscopy involves using a laryngeal mirror to visualize the larynx (voice box), hypopharyngeal structures, and vocal cords indirectly.A biopsy is performed to collect tissue samples from suspicious areas for pathological examination.

Example 1: A patient presents with hoarseness and a persistent cough.An indirect laryngoscopy with biopsy is performed to rule out malignancy or other pathology. , A patient with a history of smoking presents with a suspicious lesion visible during a routine examination. An indirect laryngoscopy with biopsy is performed to obtain tissue for histopathological evaluation., A patient complains of difficulty swallowing and voice changes.Indirect laryngoscopy with biopsy is used to assess the condition of the larynx and throat.

* Patient's history and symptoms.* Detailed description of the procedure performed.* Site(s) of the biopsy.* Pathology report of the biopsy.* Indication for the biopsy.* Anesthesia administration notes if applicable.

** Always refer to the most current CPT codebook and payer guidelines for complete and accurate coding information.This information is for guidance only and should not be considered a substitute for professional medical coding advice.

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