tci Outpatient Facility Coding Alert - 2014 Issue 7

Reader Question: Biopsy Is Bundled With Excision Code 31541

Question: During an operative session, the surgeon performed two procedures: Direct laryngoscopy with microsuspension laryngoscopy and excision of bilateral vocal cord lesions Biopsy of left vallecular lesion.  He used an operating microscope only for the first procedure. He excised the vallecular lesion using a cup forceps, and then brought the microscope into place for the excision of bilateral vocal cord lesions. How do I code? Georgia Subscriber Answer: Use only code 31541 (Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope). The other biopsy code 31535 (Laryngoscopy, direct...

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