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Laryngoplasty, specifically coded as CPT® 31580, is a surgical procedure performed to address a laryngeal web, which is an abnormal sheet of tissue that connects the vocal cords. This condition can be congenital, meaning it is present at birth, or it may develop as a result of an acquired condition, such as following a tracheostomy. While small laryngeal webs may not cause any symptoms, larger webs can lead to significant voice changes and respiratory difficulties. The procedure involves the insertion of an indwelling keel or stent, which is crucial for maintaining the separation of the vocal cords during the healing process. If the patient has not previously undergone a tracheostomy, this procedure is performed prior to the laryngoplasty to ensure proper access to the larynx. The surgical approach includes making a horizontal incision above the tracheostoma, creating a subplatysmal flap, and exposing the necessary anatomical structures to effectively divide the laryngeal web. The placement of the keel is essential for promoting epithelialization of the vocal cord edges and preventing the reformation of the web, thereby facilitating recovery and restoring normal vocal function.
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The procedure of laryngoplasty with keel or stent insertion is indicated for the treatment of a laryngeal web, which can lead to various complications. The following conditions warrant this surgical intervention:
The laryngoplasty procedure involves several critical steps to ensure effective treatment of the laryngeal web:
After the laryngoplasty procedure, patients can expect a recovery period that may involve monitoring for any complications related to the surgery. The removal of the keel approximately three weeks after the initial procedure is a critical step in the recovery process, as it allows for the assessment of the healing of the vocal cords. Patients may experience some discomfort or changes in voice during the initial recovery phase, but these symptoms typically improve as healing progresses. Follow-up appointments are essential to ensure proper recovery and to monitor for any signs of reformation of the laryngeal web.
| Short Descr | LARYNGOPLASTY LARYNGEAL WEB | Medium Descr | LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION | Long Descr | Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion | 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 | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | 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 | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 42 - Other OR therapeutic procedures on respiratory system |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2017-01-01 | Changed | Long, Medium and Short descriptions changed. Guidelines Changed. |
| 2010-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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