31578 Largsc with removal lesion
Also known as: rigid laryngoscopy with lesion removal, telescope laryngoscopy lesion removal
Laryngoscopic removal of a laryngeal lesion or pathologic tissue using rigid laryngoscope with telescope visualization for therapeutic excision.
In Plain Language
removing growth from voice box with rigid scope
Clinical Context
Therapeutic procedure for removal of benign laryngeal lesions (polyps, nodules, cysts) using rigid laryngoscopic approach with telescope magnification.
RVU Breakdown
| Work RVU | 2.37 |
| Total RVU | 2.37 |
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 2.37, this code ranks in the 16th percentile among Surgery codes — 3.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31578?
CPT 31578 (Largsc with removal lesion) is a Surgery code. Laryngoscopic removal of a laryngeal lesion or pathologic tissue using rigid laryngoscope with telescope visualization for therapeutic excision.
What is the wRVU value for CPT 31578?
The work RVU for CPT 31578 is 2.37. This code is primarily used by Otolaryngology, Voice and Laryngology, Head and Neck Surgery.
When is CPT 31578 used?
Therapeutic procedure for removal of benign laryngeal lesions (polyps, nodules, cysts) using rigid laryngoscopic approach with telescope magnification.
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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.