31365 Removal of larynx
Also known as: total laryngectomy extended, laryngopharyngectomy, extended laryngeal resection
Extended total laryngectomy with removal of larynx and extension into pharynx, esophagus, or adjacent structures for advanced cancer.
In Plain Language
extensive voice box and throat removal
Clinical Context
Extended laryngectomy for advanced laryngeal or hypopharyngeal cancer with involvement of adjacent structures. May require esophageal reconstruction.
RVU Breakdown
| Work RVU | 37.84 |
| Total RVU | 37.84 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 37.84, this code ranks in the 96th percentile among Surgery codes — 4.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31365?
CPT 31365 (Removal of larynx) is a Surgery code. Extended total laryngectomy with removal of larynx and extension into pharynx, esophagus, or adjacent structures for advanced cancer.
What is the wRVU value for CPT 31365?
The work RVU for CPT 31365 is 37.84. This code is primarily used by Otolaryngology, Head and Neck Surgery. It has a 90-day global period.
When is CPT 31365 used?
Extended laryngectomy for advanced laryngeal or hypopharyngeal cancer with involvement of adjacent structures. May require esophageal reconstruction.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.