CPT code 31390 represents a major head and neck surgical procedure: pharyngolaryngectomy, the combined removal of the pharynx and larynx without reconstruction. Nationally, this code captures high-acuity surgical care typically delivered in hospital operating rooms for patients with severe swallowing dysfunction or advanced disease affecting the upper aerodigestive tract. The procedure has important implications for resource use, care coordination, and post-operative rehabilitation needs.

Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context and coding scope, expected site-of-service considerations, and the common modifiers associated with reporting this surgical service. The publication outlines benchmarks and policy considerations relevant to national payers and provides clarity on the clinical intent of the code—removal of pharynx and larynx without reconstruction. When applicable, the piece highlights implications for billing, care setting, and documentation that affect reimbursement and utilization tracking.

Data not provided in the input—such as associated taxonomies, specific ICD-10 diagnosis pairings, and related codes—is noted as unavailable. The content is intended to orient clinicians, coders, and payers to the clinical meaning and coding boundaries of CPT code 31390 at a national level.