31546 Remove vc lesion scope/graft
Also known as: vocal cord lesion removal with graft, vocal cord grafting, laryngeal grafting
Laryngoscopic removal of a vocal cord lesion with operating microscope visualization combined with graft placement (such as free tissue graft, fascial graft, or mucosal graft) to restore vocal cord contour and function.
In Plain Language
removing growth and patching voice box with graft
Clinical Context
Performed for vocal cord lesions requiring resurfacing with graft material to restore normal anatomy, vocal cord pliability, and voice quality. Commonly used for scars or significant defects.
RVU Breakdown
| Work RVU | 9.49 |
| Total RVU | 9.49 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 9.49, this code ranks in the 57th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31546?
CPT 31546 (Remove vc lesion scope/graft) is a Surgery code. Laryngoscopic removal of a vocal cord lesion with operating microscope visualization combined with graft placement (such as free tissue graft, fascial graft, or mucosal graft) to restore vocal cord contour and function.
What is the wRVU value for CPT 31546?
The work RVU for CPT 31546 is 9.49. This code is primarily used by Otolaryngology, Voice and Laryngology, Head and Neck Surgery.
When is CPT 31546 used?
Performed for vocal cord lesions requiring resurfacing with graft material to restore normal anatomy, vocal cord pliability, and voice quality. Commonly used for scars or significant defects.
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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.