How To Use CPT Code 31599

CPT 31599 describes a procedure performed on the larynx that is not otherwise listed in the standard and active CPT codes. This article will cover the official description, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 31599?

CPT 31599 is used to report an unlisted procedure on the larynx that does not have a specific code available. This code should only be used when there is no other appropriate code that accurately describes the service provided. It is important to note that CPT guidelines advise against choosing a code that only approximates the procedure. Instead, the unlisted procedure code should be used when no other specific code exists.

2. Official Description

The official description of CPT code 31599 is: ‘Unlisted procedure, larynx.’ This code is used when the provider performs a procedure on the larynx that is not covered by any of the standard and active CPT codes available.

3. Procedure

1. The procedure described by CPT 31599 involves a treatment or intervention performed on the larynx.
2. This procedure is not specifically listed in the CPT code set, indicating that there is no established code for this particular service.
3. When reporting CPT 31599, it is crucial to provide a detailed description of the procedure performed on the larynx.
4. Include any relevant information about the approach, technique, instruments used, and any other pertinent details that accurately describe the procedure.
5. Ensure that the description is comprehensive and specific, as this will help in justifying the use of the unlisted procedure code.

4. Qualifying circumstances

CPT 31599 is used when there is no specific code available to accurately describe the procedure performed on the larynx. It is important to note that this code should only be used when no other appropriate code exists. The procedure must be authorized prior to service, and the claim should include a detailed description of the service and operative note.

5. When to use CPT code 31599

CPT code 31599 should be used when there is no other specific code available to accurately describe the procedure performed on the larynx. It is crucial to ensure that no other appropriate code exists before reporting CPT 31599. This code should not be used as an approximation or substitute for a specific code. Only report CPT 31599 when there is no other suitable option.

6. Documentation requirements

To support a claim for CPT 31599, the following documentation is required:

• A detailed description of the procedure performed on the larynx
• Information about the approach, technique, instruments used, and any other relevant details
• Authorization for the procedure prior to service
• An operative note that provides a comprehensive account of the procedure

7. Billing guidelines

When billing for CPT 31599, it is important to ensure that there is no other appropriate code available to accurately describe the procedure performed on the larynx. Use the unlisted procedure code only when no other suitable option exists. It is crucial to provide a detailed description of the procedure and include the operative note with the claim. Additionally, be aware of any specific payer requirements or guidelines for reporting unlisted procedure codes.

8. Historical information

CPT 31599 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 physician performs a unique procedure on the larynx that is not covered by any specific CPT code.
2. An otolaryngologist performs a specialized intervention on the larynx that does not have a designated code.
3. A surgeon performs a complex procedure on the larynx that requires a detailed description for accurate reporting.
4. A patient undergoes a novel treatment on the larynx that does not fit any existing CPT code.
5. A provider performs an innovative procedure on the larynx that necessitates the use of an unlisted procedure code.
6. An ENT specialist performs a customized intervention on the larynx that cannot be accurately described by any specific CPT code.
7. A laryngologist performs a unique procedure on the larynx that requires a comprehensive description for proper billing.
8. A patient receives a specialized treatment on the larynx that does not align with any existing CPT code.
9. A surgeon performs an unconventional procedure on the larynx that necessitates the use of an unlisted procedure code.
10. An otolaryngologist performs an innovative intervention on the larynx that cannot be accurately reported with any specific CPT code.