AHA Coding Clinic® for HCPCS - 2011 Issue 3; ASK the EDITOR

Botox injection into the cricopharyngeus

A patient with dysphagia, cricopharyngeal dysfunction and spasm with Schatzki’s ring, presents for Botox injection into the cricopharyngeus. After general anesthesia is provided, a direct laryngoscopy and direct hypopharyngoscopy was performed. A microscope was used for direct visualization. Botox was injected into three areas of the posterior cricopharyngeus. The coders at our facility have been debating between codes 31571 and 64613. What is the appropriate code assignment for direct laryngoscopy with injection of Botox into the cricopharyngeal muscle using an operating microscope?  ...

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