31390 Removal of larynx & pharynx
Also known as: laryngopharyngectomy, total laryngopharyngeal resection, combined larynx-pharynx removal
Total removal of the larynx and pharynx via combined external approach with reconstruction of continuity via staged procedures.
In Plain Language
voice box and throat removal
Clinical Context
Extensive surgical removal of larynx and pharynx for advanced cancer. Requires esophageal reconstruction to restore continuity and allow swallowing.
RVU Breakdown
| Work RVU | 41.45 |
| Total RVU | 41.45 |
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 41.45, this code ranks in the 97th percentile among Surgery codes — 5.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31390?
CPT 31390 (Removal of larynx & pharynx) is a Surgery code. Total removal of the larynx and pharynx via combined external approach with reconstruction of continuity via staged procedures.
What is the wRVU value for CPT 31390?
The work RVU for CPT 31390 is 41.45. This code is primarily used by Otolaryngology, Head and Neck Surgery. It has a 90-day global period.
When is CPT 31390 used?
Extensive surgical removal of larynx and pharynx for advanced cancer. Requires esophageal reconstruction to restore continuity and allow swallowing.
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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.