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Direct Laryngoscopy, Airway stent removal

luisa Posted Tue 07th of March, 2017 10:46:25 AM
What is the actual cpt code for stent removal, Operative note: A sterile field was created in the right neck. Using a 15 blade a 5mm incision in the lateral aspect of the prior neck incision was created and the prolene stitch securing the stent was located. A maxillary tooth guard was then inserted and a 9.5 Benjamin laryngoscope was then inserted a view of the rutter stent was obtained. The prolene stitch was cut and the stent was removed from the airway, revealing the findings above with Hopkins rod telescope. Findings: grade1 view with 9.5 cm Benjamin laryngoscope, supraglottis: within normal limits. Rutter stent in place, removed. Glottis: Mobility was not assessed, but normal appearing. Subglottis: patent in the region of rutter stent, anterior graft is well mucosalized. Trache: diastal remnant granulation tissue, stomal skin just proximal to trach stoma. Would you captured the unlised code?
SuperCoder Answered Wed 08th of March, 2017 02:39:23 AM

Hi Anna,

The CPT code for the above procedure will be 31635 foreign body removal (stent removal). Thank you.

luisa Posted Wed 08th of March, 2017 06:34:03 AM
So we captured the Bronchoscopy fb removal CPT code instead of the Laryngoscopy removal?
SuperCoder Answered Thu 09th of March, 2017 09:08:25 AM

Hi Anna,

As there is no definite code for removal of stent from airway, and if doctor has not performed Bronchoscopy, we will go for cpt 31599 (Unlisted procedure, larynx).

Also you should include a cover letter stating why you are using the unlisted procedure code. This separate report should explain, in simple, straightforward language, exactly what the physician did. Thank you.

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