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A laryngoplasty, as defined by CPT® Code 31588, is a surgical procedure aimed at repairing or reconstructing the larynx, specifically for conditions that do not include laryngeal web, laryngeal stenosis, or the reduction of a fracture. This procedure is utilized in cases where other techniques, such as a cricoid split, are not applicable. Common scenarios for performing a laryngoplasty include addressing burn injuries to the larynx, reconstructing the larynx following a partial laryngectomy, or performing medialization laryngoplasty to treat laryngeal paralysis. The procedure begins with a horizontal incision made over the larynx, typically at the level of the cricothyroid membrane, allowing for adequate exposure of the laryngeal structures. The surgical approach involves creating a subplatysmal apron flap, which is elevated to provide a clear view of the larynx. The strap muscles are then divided and retracted to facilitate access. Depending on the specific needs of the patient, laryngeal tissue may be excised, and various flaps or grafts can be employed to repair any defects. After the repair is completed, a drain is placed in the neck, and the overlying soft tissue and skin are meticulously closed in layers to promote healing.
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The procedure of laryngoplasty, as described by CPT® Code 31588, is indicated for various conditions that necessitate surgical intervention on the larynx. These indications include:
The laryngoplasty procedure involves several critical steps to ensure effective repair and reconstruction of the larynx. The steps are as follows:
Post-procedure care following a laryngoplasty involves monitoring the patient for any complications and ensuring proper healing of the surgical site. Patients may require follow-up visits to assess the integrity of the repair and the functionality of the larynx. It is important to manage any pain and provide instructions for care at the incision site. Additionally, patients may need to avoid certain activities that could strain the larynx during the initial recovery period. The healthcare team will provide specific guidelines tailored to the individual patient's needs to support optimal recovery.
| Short Descr | REVISION OF LARYNX | Medium Descr | LARYNGOPLASTY NOT OTHERWISE SPECIFIED | Long Descr | Laryngoplasty, not otherwise specified (eg, for burns, reconstruction after partial laryngectomy) | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 9 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 42 - Other OR therapeutic procedures on respiratory system |
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| 2016-12-31 | Deleted | Code deleted. See 31599. |
| Pre-1990 | Added | Code added. |
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