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A patient with laryngeal spasms undergoes therapeutic injection of the vocal cords. Topical anesthesia is administered to the oral cavity, pharynx and larynx. Using an operating microscope, a direct laryngoscope is inserted into the patient’s mouth. The interior larynx is examined and the surgeon injects the vocal cords at two sites with glycerin. What CPT® and ICD-10-CM codes are reported? a.31571, J38.5 b.31535, J38.5 c.31571, 69990, J38.5 d.31570, 69990, J38.5

User Kevpie
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Final answer:

In a medical scenario involving therapeutic laryngoscopy with an operating microscope for a patient with laryngeal spasms, the accurate CPT codes are 31571 and 69990. The ICD-10-CM code for the diagnosis is J38.5.

Step-by-step explanation:

This question involves the coding of medical procedures and diagnosis. In this scenario, the patient with laryngeal spasms underwent a therapeutic injection of the vocal cords and locac anesthesia, with an operating microscope used. A direct laryngoscope was inserted and the vocal cords were then injected at two sites with glycerin.

Considering the performance of laryngoscopy using an operating microscope and the injection therapy, the appropriate CPT (Current Procedure Terminology) codes are 31571 for the therapeutic laryngoscopy and 69990 for the use of the operating microscope. The ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) code for the diagnosis of laryngeal spasms is J38.5.

Therefore, the correct codes to be reported for this scenario are 31571, 69990, and J38.5.

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