Laryngoscopy / Nasopharyngoscopy

Procedure

CPT

FUD

(Diagnosis must be appropriate for the procedure)

Laryngoscopy, flexible fiberoptic; diagnostic*

Laryngoscopy, flexible fiberoptic; with biopsy

Laryngoscopy, flexible fiberoptic; with removal of foreign body

Laryngoscopy, flexible fiberoptic; with removal of lesion

Laryngoscopy, flexible or rigid fiberoptic; with stroboscopy

Nasopharyngoscopy with endoscope (separate procedure)

Indications

1. History...one required

a) Persistant hoarseness

b) Suspected neoplasm

c) Chronic cough

d) Chronic postnasal drainage

e) Recurrent epistaxis

f) Chronic rhinorrhea

g) Chronic nasal congestion or obstruction

h) Hemoptysis

i) Hemorrhage from throat

j) Throat pain

k) Otalgia

l) Airway obstruction

m) Dyspnea

n) Stridor

o) Dysphagia

p) Head or neck masses-unknown primary tumor

q) Larngeal injury-with hoarseness or airway obstruction

r) Chronic aspiration

s) Velopharyngeal incompetence

t) Suspected foreign body

u) Recurrent serous otitis media in an adult

v) History of tobacco use

w) Obstructive sleep apnea or severe snoring

x) History of thyroid disorders

y) Ansomia / Hyposmia

z) Headaches or facial pain

31575          0

31576          0

31577          0

31578          0

31579          0

92511          0

2. Physical Examination...one or more required

a) Inadequate complete ENT exam (including mirror exam)

b) Description of breathing and voice

3. Tests...optional, unless required by diagnosis

a) CT scan of neck including nasopharynx; may include paranasal sinuses, orbit or skull base

c) Chest x-ray

Postexamination Observations

1. Bleeding from nose or mouth or emesis of fresh blood; notify surgeon

2. Pain

3. Dyspnea

Outcome Review

1. Immediately

a) Complications noted, if any

b) Findings of examination

c) Documentation of procedure

b) Barium swalow or Cine esophargram