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Code deleted, see 31510, 31535, 31536, 31576

Official Description

Biopsy; hypopharynx

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

A biopsy of the hypopharynx, designated by CPT® Code 42802, is a medical procedure that involves the removal of a small tissue sample from the lower part of the throat, known as the hypopharynx. The hypopharynx is anatomically located below the hyoid bone and extends to the lower aspect of the cricoid cartilage. This area is crucial as it connects the esophagus and the larynx, playing a significant role in both swallowing and breathing. The procedure is typically performed when there is a need to investigate abnormal growths or lesions within this region, which may be indicative of various medical conditions, including malignancies. During the biopsy, a general anesthetic is usually administered to ensure the patient is comfortable and pain-free. Once the area is adequately numbed, a tissue sample is excised from the identified abnormality and subsequently sent for laboratory analysis. This analysis is essential for diagnosing the nature of the lesion and determining the appropriate course of treatment. The biopsy of the hypopharynx is a critical diagnostic tool in the management of conditions affecting the throat and surrounding structures.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

Biopsy of the hypopharynx is indicated for the following conditions:

  • Abnormal Growths The procedure is performed to investigate any abnormal growths or lesions found in the hypopharynx that may require further evaluation.
  • Suspected Malignancies It is indicated when there is a suspicion of cancer or other neoplastic conditions in the hypopharyngeal region.
  • Persistent Symptoms The biopsy may be warranted in patients presenting with persistent symptoms such as difficulty swallowing, unexplained weight loss, or throat pain that do not respond to standard treatments.

2. Procedure

The procedure for a hypopharyngeal biopsy involves several critical steps to ensure accurate tissue sampling and patient safety:

  • Step 1: Anesthesia Administration The procedure begins with the administration of general anesthesia to the patient. This is crucial as it allows the patient to remain comfortable and pain-free throughout the biopsy process.
  • Step 2: Positioning the Patient Once the anesthesia takes effect, the patient is positioned appropriately, typically in a supine position, to provide optimal access to the hypopharynx for the physician.
  • Step 3: Visualization of the Hypopharynx The physician uses a laryngoscope or similar instrument to visualize the hypopharynx. This step is essential for identifying the specific area of abnormality that requires biopsy.
  • Step 4: Tissue Sampling After locating the abnormal growth or lesion, the physician carefully excises a tissue sample using specialized biopsy instruments. The sample must be adequate in size to facilitate accurate laboratory analysis.
  • Step 5: Post-Procedure Care Following the biopsy, the site may be cauterized to minimize bleeding, and the patient is monitored as they recover from anesthesia. Instructions for post-procedure care are provided to ensure proper healing.

3. Post-Procedure

After the hypopharyngeal biopsy, patients are typically monitored in a recovery area until the effects of anesthesia wear off. It is common for patients to experience some throat discomfort, which can be managed with prescribed pain relief medications. Patients are advised to avoid eating or drinking until they have fully recovered from anesthesia and can swallow safely. Follow-up appointments are essential to discuss the results of the laboratory analysis of the biopsy sample, and further treatment options may be determined based on the findings. Additionally, patients should be informed about signs of complications, such as excessive bleeding or infection, and instructed to seek medical attention if these occur.

Short Descr BIOPSY OF THROAT
Medium Descr BIOPSY HYPOPHARYNX
Long Descr Biopsy; hypopharynx
Status Code Active Code
Global Days 010 - Minor Procedure
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) 1 - Statutory payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Procedure or Service, Multiple Reduction Applies
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) none
MUE Not applicable/unspecified.
CCS Clinical Classification 31 - Diagnostic procedures on nose, mouth and pharynx
Date
Action
Notes
2014-01-01 Deleted Code deleted, see 31510, 31535, 31536, 31576
Pre-1990 Added Code added.
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