AHA Coding Clinic® for ICD-9 - 2012 Issue 1; Ask the Editor

Total Laryngectomy with Selective Neck Dissection

The procedure is listed as total laryngectomy, right 2-4 selective neck dissection, cricopharyngeal myotomy, primary Provox TEP placement. The surgeon’s documentation indicates right neck dissection of levels 2 through 4. No obvious metastatic nodes were experienced although there were several palpable nodes. The specimens from the neck dissection were sent to pathology. The surgeon then proceeded with total laryngectomy. What is the correct code assignment for the complete laryngectomy with selective neck dissection? ...

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