Question: How should I code a laryngoplasty when the otolaryngologist inserts a silicon spacer for vocal-cord paralysis? Answer: Because CPT contains no specific code for laryngoplasty with silicon spacer insertion, you should report unlisted-procedure code 31599 (Unlisted procedure, larynx).
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As when you submit any unlisted-procedure code, you should send supporting documentation, such as the operative note. Also, include a cover letter in which you describe the work the otolaryngologist performed during the laryngoplasty with silicon spacer insertion.