CPT 31380: Anterovertical Hemilaryngectomy (Partial Laryngectomy)
CPT code 31380 denotes an anterovertical hemilaryngectomy — a partial laryngectomy in which the anterior commissure and a portion of a vocal cord are removed. This operative code captures a clinically significant head and neck surgical service used to treat localized laryngeal pathology, including select malignant and pre-malignant lesions. As a relatively specialized surgical procedure, accurate coding affects hospital and surgeon claims, care setting decisions, and national activity tracking for laryngeal surgeries.
Key payers commonly involved in coverage and reimbursement for this service include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find national benchmarks for utilization and reimbursement patterns, clinical context for when the procedure is used, and relevant coding considerations that influence claim adjudication. The analysis highlights typical sites of service, expected billing patterns for a partial laryngectomy, and policy-relevant issues such as documentation elements that support medical necessity.
This summary is written for a national audience and provides a concise reference for clinicians, billing professionals, and policy analysts seeking to understand the clinical intent and billing implications of CPT code 31380. Data not available in the input is noted where applicable in the full publication.
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Billing Code Overview
CPT code 31380 describes a surgical procedure in which the provider removes part of the larynx (voice box). In an anterovertical hemilaryngectomy, the provider removes the anterior commissure, where the vocal cords meet, and typically excises a portion of a vocal cord as well.
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Service type: Surgical resection of laryngeal structures (partial laryngectomy)
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Typical site of service: Hospital operating room or ambulatory surgical center, depending on clinical complexity and patient status