Laryngoscopy, flexible; diagnostic

CPT 31575 is the billing code for "Laryngoscopy, flexible; diagnostic". Diagnostic flexible laryngoscopy for evaluation of larynx and vocal cords

Medicare pays approximately $123.89 for CPT 31575 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 31575 has a total RVU of 3.42, broken down as: Work RVU 1.50, Practice Expense RVU 1.80, and Malpractice RVU 0.12. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 31575 include: Findings documented; Areas examined documented; Vocal cord function documented; Patient response to procedure. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 31575: Diagnostic laryngoscopy only. Flexible scope Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 31575 include: 59 (Distinct procedural service when multiple procedures performed), 51 (Multiple procedures performed). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 31575 is Typically 10-15 minutes. Time-based codes require documentation of the actual time spent providing the service.