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CPT 31513: Laryngeal Examination with Vocal Cord Injection
CPT code 31513 covers laryngeal visualization with laryngeal mirror and injection of medication into a vocal cord for treatment or diagnosis of vocal cord paralysis, laryngitis, and related disorders. This code captures a combined diagnostic and therapeutic encounter commonly performed by otolaryngologists and voice specialists. Nationally, the code matters because it represents a procedure that bridges office-based diagnostic assessment and targeted treatment of vocal fold pathology, impacting access to minimally invasive care and reimbursement pathways for ENT services.
Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for the procedure, typical sites of service, common billing considerations, and payer coverage patterns. The analysis discusses benchmarks for utilization and allowed payment ranges where available, relevant coding practice considerations, and implications for outpatient ENT care delivery. The content is intended to inform billing staff, practice managers, and policy analysts about the clinical and administrative aspects of CPT code 31513, highlighting how this procedure is positioned within outpatient otolaryngology services.
Data not available in the input: specific ICD-10 pairings, modifier usage by payer, and payer-specific reimbursement rates.
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Billing Code Overview
CPT code 31513 describes a clinician performing laryngeal examination using a laryngeal mirror to visualize the larynx (voice box) and administering an injection of medication directly into a vocal cord. The procedure is used to evaluate and treat conditions such as vocal cord paralysis and inflammatory or functional disorders of the vocal folds.
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Service type: Diagnostic laryngeal examination with therapeutic vocal cord injection
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Typical site of service: Office or outpatient otolaryngology (ENT) clinic; may also be performed in ambulatory surgical centers depending on clinical setting and patient needs.