2025 CPT code 31530

Direct laryngoscopy with foreign body removal.

Refer to the current CPT manual for the most up-to-date guidelines and coding conventions.

Modifiers may be applicable depending on the circumstances of the procedure (e.g., 51 for multiple procedures, 59 for distinct procedural services).

Medical necessity is established when a foreign body is present in the larynx causing airway obstruction, respiratory distress, or other symptoms.The procedure is necessary for immediate relief of symptoms and prevention of complications.

The otolaryngologist or surgeon inserts a laryngoscope to visualize the larynx and hypopharynx, then uses forceps to remove the foreign body. This is an operative procedure requiring appropriate preparation and anesthesia.

IMPORTANT Consider code 31531 if an operating microscope or telescope is used.

In simple words: The doctor uses a special instrument (laryngoscope) to look inside the voice box (larynx) and remove any foreign objects that might be there. This is a surgical procedure done in the operating room, usually while the patient is asleep.

This CPT code encompasses the direct visualization of the larynx and hypopharynx using a laryngoscope, followed by the operative removal of a foreign body.The procedure typically requires general anesthesia or conscious sedation and is performed in an operating room setting.It involves the insertion of a laryngoscope into the patient's throat to directly visualize the laryngeal and hypopharyngeal structures.Once the foreign body is located, forceps are used to grasp and remove it. The procedure may include examination of midline structures (tongue base, vallecula, epiglottis, subglottis, posterior pharyngeal wall) and paired structures (true vocal cords, arytenoids, false vocal cords, ventricles, pyriform sinuses, aryepiglottic folds) .

Example 1: A 2-year-old child accidentally inhales a small toy part. Direct laryngoscopy is performed to remove the object., An adult experiences sudden choking and a piece of food is lodged in the larynx.Direct laryngoscopy is used to remove the food particle., A patient presents with a persistent cough and a suspected foreign body.Direct laryngoscopy and removal is performed for diagnostic and therapeutic purposes.

* Preoperative assessment including history and physical examination.* Operative report detailing the procedure, including the type of laryngoscope used, location and nature of the foreign body, and techniques used for removal.* Postoperative assessment and follow-up care.* Anesthesia records.* Pathology report (if applicable).

** This code is for direct laryngoscopy.If a fiber-optic laryngoscope or operating microscope is used, a different code may be more appropriate. Always ensure proper documentation to support medical necessity and code selection. The information provided here is for general guidance and should not be considered a substitute for professional medical coding advice.

  • Revenue Code: P8H (Endoscopy - Laryngoscopy)
  • Payment Status: Active
  • Specialties:Otolaryngology, Surgery
  • Place of Service:Operating Room, Ambulatory Surgical Center
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