How To Use CPT Code 31572

CPT 31572 describes the use of a flexible laryngoscope with laser ablation or destruction of lesions on one side of 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 31572?

CPT 31572 is used to describe a procedure in which a flexible laryngoscope is utilized to examine the larynx and detect any abnormalities. During this procedure, the provider also uses a laser to ablate or destroy any lesions found on one side of the larynx.

2. Official Description

The official description of CPT code 31572 is: ‘Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral.’

3. Procedure

1. The provider begins by preparing and anesthetizing the patient.
2. A flexible fiberoptic laryngoscope is inserted through the nose to visualize the laryngeal and hypopharyngeal structures.
3. If any lesions are identified on one side of the larynx, the provider uses a laser through the scope to ablate or destroy the lesions.
4. The provider then reexamines the larynx and related structures to ensure the successful removal of the lesions.
5. Finally, the scope is withdrawn, and the procedure is completed.

4. Qualifying circumstances

CPT 31572 is performed when a patient presents with lesions on one side of the larynx that require ablation or destruction using a laser. It is important to note that this code should not be reported in conjunction with CPT codes 31576 and 31578. Additionally, it should not be used for procedures involving flexible endoscopic evaluation of swallowing or sensory testing.

5. When to use CPT code 31572

CPT code 31572 should be used when a provider performs a flexible laryngoscopy with laser ablation or destruction of lesions on one side of 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 31572, the provider must document the following information:

• Indication for the procedure and the presence of lesions on one side of the larynx
• Details of the procedure, including the use of a flexible laryngoscope and laser ablation or destruction of lesions
• Date and duration of the procedure
• Findings from the examination and any additional actions taken
• Signature of the performing provider

7. Billing guidelines

When billing for CPT 31572, ensure that the procedure meets the specific criteria outlined in the code description. It should not be reported in conjunction with CPT codes 31576 and 31578. Additionally, consider any additional tips provided by coding guidelines or payer requirements to accurately report and bill for this procedure.

8. Historical information

CPT 31572 was added to the Current Procedural Terminology system on January 1, 2017. There have been no updates to the code since its addition.

9. Examples

1. A patient presents with a lesion on one side of the larynx, and the provider performs a flexible laryngoscopy with laser ablation to remove the lesion.
2. During a routine examination, a provider discovers a suspicious lesion on one side of the larynx and performs a flexible laryngoscopy with laser destruction of the lesion.
3. A patient with a history of laryngeal abnormalities undergoes a flexible laryngoscopy, and the provider uses a laser to ablate a lesion found on one side of the larynx.
4. Following a biopsy that reveals a lesion on one side of the larynx, the provider performs a flexible laryngoscopy with laser ablation to treat the lesion.
5. A patient with a known laryngeal lesion undergoes a follow-up flexible laryngoscopy, and the provider uses a laser to destroy the lesion on one side of the larynx.
6. During a surgical procedure, the provider identifies a lesion on one side of the larynx and performs a flexible laryngoscopy with laser ablation to remove the lesion.
7. A patient with a history of laryngeal abnormalities experiences worsening symptoms, prompting a flexible laryngoscopy with laser destruction of a lesion found on one side of the larynx.
8. Following a previous procedure to remove a lesion, the provider performs a flexible laryngoscopy to ensure the complete eradication of any remaining lesions on one side of the larynx.
9. A patient with a known laryngeal lesion undergoes a routine flexible laryngoscopy, and the provider uses a laser to ablate the lesion found on one side of the larynx.
10. During a follow-up visit, the provider discovers a new lesion on one side of the larynx and performs a flexible laryngoscopy with laser destruction to treat the lesion.