Laryngoscopy / Nasopharyngoscopy continued

Patient Information

Fiberoptic laryngoscopy and nasopharyngoscopy are diagnostic procedures using a fiberoptic endoscope.  The endoscope is attached to a bright light to look into the nasal passages and back of the throat as far down as the voice box. The instrument is usually passed through the nose after a nasal spray is used to shrink and numb the nasal membranes.  This frequently performed examination allows for a more thorough look at the nose, mouth and throat in order to diagnose problems that are otherwise difficult to visualize. Complications associated with this examination are rare and include temporary sneezing, coughing, gagging and bleeding.

Associated ICD-9 Codes (included but not limited to)

241.0  Nontoxic uninodular goiter

241.1  Nontoxic multinodular goiter

241.9  Unspecified nontoxic nodular goiter

242.0  Toxic diffuse goiter

242.1  Toxic uninodular goiter

242.2  Toxic multinodular goiter

242.3  Toxic nodular goiter, unspecified

307.0  Stuttering

349.8  CSF rhinorrhea

350.2  Atypical facial pain

352.0  Disorders of olfaction

381.1  Chronic otitis media

381.2  Chronic mucoid otitis media

381.5  Eustachian salpingitis

381.6  Eustachian tube obstruction

385.1  Adhesive middle ear disease

462    Sore throat, acute pharyngitis

464.0  Acute laryngitis

464.1  Acute tracheitis

464.2  Acute laryngotracheitis

464.2  Acute laryngotracheitis with obstruction

464.3  Acute epiglottitis

464.3  Acute epiglottitis with obstruction

464.4  Croup

471.1  Nasal polyposis

472.2  Chronic rhinitis

473.0  Chronic maxillary sinusitits

473.1  Chronic frontal sinusitis

473.2  Chronic ethmoidal sinusitis

473.3  Chronic sphenoidal sinusitis

473.8  Chronic pansinusitis

473.9  Chronic sinusitis

474.0  Recurrent or chronic tonsillitis

474.1  Hypertrophic tonsils/adenoids

474.1  Hypertrophic tonsils

474.1    Hypertrophic adenoids

474.8    Chronic tonsils/adenoid conditions               - calculus, cicatrix, ulcer, tags

476.0    Chronic laryngitis

476.1    Chronic laryngotracheitis

478.1    Other diseases of nasal cavity & sinuses

478.21   Cellulitis of pharynx or nasopharynx

478.22   Parapharyngeal abscess

478.24   Retropharyngeal abscess

478.25   Edema of pharynx of nasopharynx

478.26   Cyst of pharynx of nasopharynx

478.29   Nasopharyngeal stenosis or abscess

478.31   Unilateral vocal cord/laryngeal paresis

478.32   Unilateral vocal cord/laryngeal paralysis

478.33   Bilateral vocal cord/laryngeal paresis

478.34   Bilateral vocal cord/laryngeal paralysis

478.4    Laryngeal/vocal cord polyp

478.5    Other diseases of vocal cords (nodules,                                leukoplakia, granuloma, abscess)

478.6    Edema of larynx

478.71   Cellulitis & perichondritis of larynx

478.74   Subglottic/laryngeal stenosis

478.75   Laryngeal spasm

478.8    Upper respiratory tract hypersensitivity reaction

518.81   Respiratory failure

528.3    Cellulitis and abscess, oral cavity

530.11   Reflux esophagitis

530.3    Stricture & stenosis of esophagus

530.82   Esophageal hemorrhage

530.84   Tracheoesophageal fistula

710.3    Dermatomysis

714      Rheumatoid arthritis

729.8    Foreign Body

748.0    Choanal atresia

748.2    Laryngeal web

748.3    Laryngotracheal anomalies, other                      (e.g., laryngomalacia,                                       tracheomalacia, laryngocoele,                         clefts, congenital stenosis)

750.27   Pharyngeal diverticulum

750.29   Velopharyngeal incompetence

750.3    Tracheoesophageal fistula,                               esophageal atresia and stenosis

780.53   Obstructive sleep apnea

781.1      Disturbances of taste and smell

784.0      Headache

784.1      Throat pain (odynophagia)

784.2      Mass, head or neck

784.41     Aphonia

784.49   Hoarseness-unspecified

784.5      Dysarthria, dysphasia, slurred speech

784.7      Epistaxis

784.8      Hemorrhage from throat

784.9      Choking, sneezing, halitosis, mouth                 breathing

786.1      Stridor

786.2      Cough

786.3      Hemoptysis

787.2      Dysphagia

933.0      Foreign body, pharynx

933.1      Foreign body, larynx

935.1      Foreign body, esophagus

V10.9      History of malignant neoplasm

V15.82   History of tobacco use

Additional Information

Assistant Surgeon - N

Supply Charges - N

Prior Approval - N

*  If appropriate, a “-.25” modifier must be added to the E & M visit code if this procedure is performed on the same date as the office visit.