How To Use CPT Code 31513

CPT 31513 describes the use of indirect laryngoscopy with vocal cord injection to diagnose and treat conditions affecting the larynx. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 31513?

CPT 31513 is a code used to describe the procedure of indirect laryngoscopy with vocal cord injection. This procedure involves the use of a laryngeal mirror to examine the larynx and the injection of medication into the vocal cord to treat conditions such as vocal cord paralysis or laryngitis.

2. Official Description

The official description of CPT code 31513 is: ‘Laryngoscopy, indirect; with vocal cord injection.’

3. Procedure

1. During the procedure, the healthcare provider inserts a small, long-handled mirror into the patient’s throat to visualize the larynx and hypopharyngeal structures.
2. The provider manipulates the mirrors to achieve a proper reflection and view of the larynx.
3. If necessary, the provider may use a light source to enhance visibility.
4. Once the larynx is visualized, the provider injects medication into the vocal cord via the mouth to treat conditions such as vocal cord paralysis or laryngitis.

4. Qualifying circumstances

CPT 31513 is used when a healthcare provider performs indirect laryngoscopy with vocal cord injection to diagnose and treat conditions affecting the larynx. This procedure is typically performed on patients who have symptoms or conditions such as vocal cord paralysis, laryngitis, or other laryngeal abnormalities. The provider must be appropriately trained and qualified to perform the procedure.

5. When to use CPT code 31513

CPT code 31513 should be used when a healthcare provider performs indirect laryngoscopy with vocal cord injection to diagnose and treat conditions affecting the larynx. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 31513, the healthcare provider must document the following information:

• The reason for performing the procedure
• The specific details of the procedure, including the use of a laryngeal mirror and vocal cord injection
• The date and time of the procedure
• Any findings or abnormalities observed during the procedure
• The medication used for the vocal cord injection
• Any complications or adverse reactions
• The provider’s signature

7. Billing guidelines

When billing for CPT 31513, it is important to ensure that the procedure meets the specific criteria outlined in the code description. The procedure should be performed by a qualified healthcare provider and the documentation should support the medical necessity of the procedure. It is also important to follow any additional guidelines or requirements set forth by the payer.

8. Historical information

CPT 31513 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient presents with symptoms of vocal cord paralysis. The healthcare provider performs indirect laryngoscopy with vocal cord injection to diagnose and treat the condition.
2. A patient is experiencing chronic laryngitis. The healthcare provider performs indirect laryngoscopy with vocal cord injection to assess the vocal cords and administer medication for treatment.
3. A patient has a history of laryngeal abnormalities. The healthcare provider performs indirect laryngoscopy with vocal cord injection to monitor the condition and administer appropriate treatment.
4. A patient complains of hoarseness and difficulty speaking. The healthcare provider performs indirect laryngoscopy with vocal cord injection to evaluate the vocal cords and provide therapeutic intervention.
5. A patient presents with symptoms of vocal cord nodules. The healthcare provider performs indirect laryngoscopy with vocal cord injection to assess the nodules and administer medication for treatment.
6. A patient has a history of vocal cord polyps. The healthcare provider performs indirect laryngoscopy with vocal cord injection to monitor the polyps and administer appropriate treatment.
7. A patient is experiencing vocal cord hemorrhage. The healthcare provider performs indirect laryngoscopy with vocal cord injection to assess the hemorrhage and provide therapeutic intervention.
8. A patient complains of voice changes and difficulty swallowing. The healthcare provider performs indirect laryngoscopy with vocal cord injection to evaluate the vocal cords and administer medication for treatment.
9. A patient presents with symptoms of laryngeal stenosis. The healthcare provider performs indirect laryngoscopy with vocal cord injection to assess the stenosis and provide therapeutic intervention.
10. A patient has a history of vocal cord granuloma. The healthcare provider performs indirect laryngoscopy with vocal cord injection to monitor the granuloma and administer appropriate treatment.