CPT code 31395 defines pharyngolaryngectomy with reconstruction, a major head-and-neck surgical procedure that removes the pharynx and larynx and restores continuity through reconstructive techniques. This code captures high-complexity operative care often required for advanced tumors, severe dysphagia, or airway-threatening conditions. Nationally, the code is relevant for hospital surgical case mix, resource planning, and specialty reimbursement benchmarks due to its operative intensity and postoperative needs.

Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise briefing on clinical context, expected service setting, and the kinds of performance and billing considerations associated with this procedure. The publication outlines common modifiers and coding relationships where available, summarizes payer coverage patterns and authorization considerations when reported, and presents benchmark perspectives on utilization and expected resource use.

This summary is intended to inform hospital administrators, coding professionals, and specialty clinicians about the code’s clinical scope, typical care setting, and the payer landscape that influences authorization and reimbursement processes. Data not available in the input is noted where applicable.