CLM
New
Hello, Can anyone help with a CPT for the above procedure?
Op note reads:
The laryngoscope was suspended, and under magnification, the vallecula and the epiglottis were centered into view. The laryngeal coblator wand was used to gently denude the mucosa at the vallecula base and the glossal surface of the epiglottis being sure to stay in the midline. Hemostasis was ensured.
Next, a small 5mm horizontal incision was planned at the level of the hyoid in the midline of the neck. Approximately 1cc of Lidocaine was injected. The neck was prepped and draped in the usual sterile fashion. An incision was made with a 15 blade through the skin and subdermis formal as small pocket beneath the skin. First, a 18-gauge needle pre-loaded with a looped 2-0 prolene was inserted into the neck and through the caudal end of the epiglottis in the midline while visualization was confirmed endoscopically transoral. Next, a 20-gauge needle pre loaded with a single 2-0 prolene was placed in the neck about 5mm superior to the first needle and inserted through the cephalic end of the epiglottis in the midline. The second prolene suture was secured through the loop and both needles were removed from the neck. The prolenes were secured through a small piece of silastic sheeting and tied down. The neck incision was closed with 5-0 monocryl.
The aryepiglottic folds were divided bilaterally using the the curved laryngeal scissors.
Any help is appreciated!
Op note reads:
The laryngoscope was suspended, and under magnification, the vallecula and the epiglottis were centered into view. The laryngeal coblator wand was used to gently denude the mucosa at the vallecula base and the glossal surface of the epiglottis being sure to stay in the midline. Hemostasis was ensured.
Next, a small 5mm horizontal incision was planned at the level of the hyoid in the midline of the neck. Approximately 1cc of Lidocaine was injected. The neck was prepped and draped in the usual sterile fashion. An incision was made with a 15 blade through the skin and subdermis formal as small pocket beneath the skin. First, a 18-gauge needle pre-loaded with a looped 2-0 prolene was inserted into the neck and through the caudal end of the epiglottis in the midline while visualization was confirmed endoscopically transoral. Next, a 20-gauge needle pre loaded with a single 2-0 prolene was placed in the neck about 5mm superior to the first needle and inserted through the cephalic end of the epiglottis in the midline. The second prolene suture was secured through the loop and both needles were removed from the neck. The prolenes were secured through a small piece of silastic sheeting and tied down. The neck incision was closed with 5-0 monocryl.
The aryepiglottic folds were divided bilaterally using the the curved laryngeal scissors.
Any help is appreciated!