What is the CPT code for this case? example: 27510-RT 372 Additional Practice Ex

Question

What is the CPT code for this case? example: 27510-RT

372 Additional Practice Exercises Surgical Case #55 Operative Report Right true vocal cord lesion Preoperative Diagnosis: Postoperative Diagnosis: Operative Procedure: Same Direct laryngoscopy with excision of right true vocal cord Firm right true vocal cord lesion and some scarring on the right true vocal cord, otherwise normal laryngoscopy Findings Indication for the Procedure: This is a 51-year-old man who had a history of anterior commissure nodule that was biopsied in 2001 and came back as benign. He was lost to follow-up, but returned with increasing hoarseness and was found on flexible laryngoscopy to have a mid-right-sided true vocal cord lesion. He was brought to the operating room today for laryngoscopy and removal of this lesion. He was placed in the supine position on the operating room table and mask anesthesia was induced. Once deeper anesthesia had been achieved, the table was turned toward the laryngoscopy instrumentation. A Dedo laryngoscope was placed carefully into the mouth after the upper gums were protected using wet gauze. The lingual surface of the epiglottis appeared normal as did the vallecula. The laryngeal surface of the epiglottis also appeared completely normal as did the arytenoids and false vocal cords bilaterally. The true vocal cords were bilaterally mobile. They were slightly edematous and there was an approximately 1.5 cm whitish nodule on the right vocal cord in the middle third of the cord. There was a small area of heaped mucosa near the anterior commissure that was slightly hard, but deemed normal and another one at the vocal process that again had normal mucosa, but was slight- Details of the Procedure: as if some scarring was present. Again, the left true vocal cord was completely normal except for slight edema The posterior commissure area appeared normal. Again, the arytenoids were visualized and were thought to be completely normal. At this point, an LTA was sprayed and the patient was intubated. Completion of the direct laryngoscopy revealed a normal piriform sinus on the left normal postcrs coid area and a normal right piriform sinus. At this point was replaced such that the right vocal cord was easily visualized and palpated. It was suspended at ace. time. Next, the operating microscope was brought into through the #400 lens, and the vocal ed and palpated. A right biting forceps was used to the mid third of the right vocal cord and a leftward sced on cord was easily inspect was used to dissect the area where this lesion was the vocal cord. This did include the medial aspect of the

Explanation / Answer

31541-RT Laryngoscopy,direct ,operative,,with excision of tumor or stripping of vocal cords along that the otolaryngologist uses a operating microscope,

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