CPT® Code 31545

Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)

The procedure described by CPT® Code 31545 involves a direct laryngoscopy, which is a surgical technique that allows a physician to visualize the larynx and vocal cords directly using specialized instruments. This procedure is performed with the aid of an operating microscope or telescope, enhancing the surgeon's ability to see and operate on the vocal cords with precision. The primary focus of this procedure is the submucosal removal of non-neoplastic lesions located on the vocal cords. Non-neoplastic lesions refer to abnormal growths that are not cancerous, which can affect vocal cord function and overall voice quality. During the procedure, the surgeon utilizes a rigid or flexible laryngoscope, typically inserted through the mouth under general anesthesia, to examine the oral cavity, oropharynx, hypopharynx, and trachea. Once the lesion is identified, instruments such as micro-knives or micro-scissors are employed to carefully incise the vocal cord tissue. The surgeon then uses both blunt and sharp dissection techniques to separate the lesion from the surrounding healthy tissue. After the lesion is excised, the surgical defect is reconstructed using local tissue flaps. This involves developing, trimming, and advancing or rotating a flap of local tissue over the defect, which is then secured in place with sutures. This meticulous approach aims to restore the integrity of the vocal cords while minimizing complications and promoting optimal healing.