2025 CPT code 31531

Direct operative laryngoscopy with foreign body removal using an operating microscope or telescope.

Code 31531 should be reported only once per operative session, even if the operating microscope or telescope is used multiple times. For endoscopic procedures, report the appropriate endoscopy code for each anatomical site examined.

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

Medical necessity is established by the presence of a foreign body in the larynx causing symptoms such as airway obstruction, difficulty breathing, or voice changes.

The physician prepares and anesthetizes the patient, inserts the laryngoscope, removes the foreign body with forceps, and uses an operating microscope or telescope to enhance visualization.

IMPORTANT Do not report 69990 (operating microscope) in addition to 31531. If the operating microscope or telescope is not used, consider 31530.

In simple words: The doctor uses a special instrument called a laryngoscope to look into your voice box and remove something stuck there. They use a microscope or telescope to see better, and you'll be asleep during the procedure so you don't feel anything.

This procedure involves inserting a laryngoscope through the mouth to directly visualize the larynx and remove a foreign body.An operating microscope or telescope is used to enhance visualization during the procedure. General anesthesia is typically administered to ensure patient comfort and stillness. Forceps are used to remove the foreign body.The larynx is then inspected to confirm complete removal and to assess for any injury.

Example 1: A child swallows a small toy and it becomes lodged in their larynx, causing breathing difficulties.Code 31531 is used for the direct laryngoscopy and removal of the toy using an operating microscope., An adult experiences sudden choking after accidentally inhaling a piece of food.Code 31531 is used when a direct laryngoscopy with an operating telescope is performed to remove the food particle., A patient with a history of swallowing difficulties presents with a fishbone lodged in their larynx. Code 31531 is used for the laryngoscopy and foreign body removal using an operating microscope.

Documentation should include details of the foreign body, the method of removal, use of the operating microscope or telescope, any complications, and post-procedure assessment of the larynx.

  • RVU: As of June 30, 2021: Non-Facility: 3.58, Facility: 2.01, Physician Work: 2.01, Practice Expense: 0.48. (Note: RVUs can change and should be verified for the specific date of service.)
  • Global Days : Information not available in provided context.
  • Payment Status: Covered (As of June 30, 2021)
  • Modifier TC rule: Information not available in provided context.
  • Fee Schedule : (Examples from sources) 2015: $667.15 (NC Medicaid); 2021: RVU based (OWCP Fee Schedule). (Note: Fee schedules vary by payer and location and should be verified for specific dates and locations.)
  • Specialties:Otolaryngology (ENT)
  • Place of Service:Ambulatory Surgical Center, Hospital - Inpatient,Hospital - Outpatient
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