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Clinical Indicators: Laryngoscopy/Nasopharyngoscopy

Clinical Indicators: Laryngoscopy/Nasopharyngoscopy
Approach ProcedureCPTRBRVS Global Days
Laryngoscopy, flexible fiberoptic; diagnostic 31575000
Laryngoscopy, flexible fiberoptic; with biopsy 31576000
Laryngoscopy, flexible fiberoptic; with removal of foreign body31577000
Laryngoscopy, flexible fiberoptic; with removal of lesion31578000
Laryngoscopy, flexible or rigid fiberoptic; with stroboscopy31579000
Nasopharyngoscopy with endoscope (separate procedure) 92511000
*If appropriate, a “-25” modifier must be added to the Evaluation and Management (E & M) code if this procedure is performed on the same date.
  1. History (one or more required)
    1. Persistent hoarseness.
    2. Suspected neoplasm of upper aerodigestive tract.
    3. Chronic cough.
    4. Chronic postnasal drainage.
    5. Recurrent epistaxis.
    6. Chronic rhinorrhea.
    7. Chronic nasal congestion or obstruction.
    8. Hemoptysis.
    9. Hemorrhage from throat.
    10. Throat pain.
    11. Otalgia.
    12. Airway obstruction.
    13. Dyspnea.
    14. Stridor.
    15. Dysphagia
    16. Head or neck masses—unknown primary tumor.
    17. Laryngeal injury—with hoarseness or airway obstruction.
    18. Chronic aspiration.
    19. Velopharyngeal incompetence.
    20. Suspected foreign body.
    21. Recurrent serous otitis media in an adult. unilateral middle ear effusion
    22. Obstructive sleep apnea or severe snoring.
    23. Preoperative assessment of vocal cord function, eg, prior to thyroid surgery
    24. Headaches or facial pain.
    25. Globus sensation, GERD, foreign body or lump sensation
    26. Surveillance of known upper aerodigective tract malignancy (to inspect primary site)
  2. Physical Examination (both may be required)
    1. Inadequate complete ENT exam (including mirror exam).
    2. Description of breathing and voice.
  3. Tests (optional, unless required by diagnosis)
    1. CT scan of neck including nasopharynx; may include paranasal sinuses, orbit or skull base.
    2. Barium swallow, standard or modified.
    3. Chest x-ray

Post Examination Observations

  1. Bleeding from nose or mouth or emesis of fresh blood; notify surgeon.
  2. Pain.
  3. Dyspnea.

Outcome Review

  1. Immediate
    1. Complications noted, if any.
    2. Findings of examination.
    3. Documentation of procedure.

Associated ICD-10-CM Diagnostic Codes (Representative, but not all-inclusive codes):

  • C01 Malignant neoplasm of base of tongue
  • C02.0 Malignant neoplasm of dorsal surface of tongue
  • C02.1 Malignant neoplasm of border of tongue
  • C02.2 Malignant neoplasm of ventral surface of tongue
  • C02.3 Malignant neoplasm of anterior two-thirds of tongue, part unspecified
  • C02.8 Malignant neoplasm of overlapping sites of tongue
  • C02.9 Malignant neoplasm of tongue, unspecified
  • C05.0 Malignant neoplasm of hard palate
  • C05.1 Malignant neoplasm of soft palate
  • C05.2 Malignant neoplasm of uvula
  • C05.9 Malignant neoplasm of palate, unspecified
  • C05.8 Malignant neoplasm of overlapping sites of palate
  • C06.2 Malignant neoplasm of retromolar area
  • C06.89 Malignant neoplasm of overlapping sites of other parts of mouth
  • C06.80 Malignant neoplasm of overlapping sites of unspecified parts of mouth
  • C06.9 Malignant neoplasm of mouth, unspecified
  • C09.9 Malignant neoplasm of tonsil, unspecified
  • C09.8 Malignant neoplasm of overlapping sites of tonsil
  • C09.0 Malignant neoplasm of tonsillar fossa
  • C09.1 Malignant neoplasm of tonsillar pillar (anterior) (posterior)
  • C10.0 Malignant neoplasm of vallecular
  • C10.1 Malignant neoplasm of anterior surface of epiglottis
  • C10.8 Malignant neoplasm of overlapping sites of oropharynx
  • C10.2 Malignant neoplasm of lateral wall of oropharynx
  • C10.3 Malignant neoplasm of posterior wall of oropharynx
  • C10.4 Malignant neoplasm of branchial cleft
  • C10.8 Malignant neoplasm of overlapping sites of oropharynx
  • C10.9 Malignant neoplasm of oropharynx, unspecified
  • C11.0 Malignant neoplasm of superior wall of nasopharynx
  • C11.1 Malignant neoplasm of posterior wall of nasopharynx
  • C11.2 Malignant neoplasm of lateral wall of nasopharynx
  • C11.3 Malignant neoplasm of anterior wall of nasopharynx
  • C11.8 Malignant neoplasm of overlapping sites of nasopharynx
  • C11.9 Malignant neoplasm of nasopharynx, unspecified
  • C13.0 Malignant neoplasm of postcricoid region
  • C12 Malignant neoplasm of pyriform sinus
  • C13.1 Malignant neoplasm of aryepiglottic fold, hypopharyngeal aspect
  • C13.2 Malignant neoplasm of posterior wall of hypopharynx
  • C13.8 Malignant neoplasm of overlapping sites of hypopharynx
  • C13.9 Malignant neoplasm of hypopharynx, unspecified
  • C14.0 Malignant neoplasm of pharynx, unspecified
  • C14.2 Malignant neoplasm of Waldeyer’s ring
  • C14.8 Malignant neoplasm of overlapping sites of lip, oral cavity and pharynx
  • C15.3 Malignant neoplasm of upper third of esophagus
  • C30.0 Malignant neoplasm of nasal cavity
  • C30.1 Malignant neoplasm of middle ear
  • C31.0 Malignant neoplasm of maxillary sinus
  • C31.2 Malignant neoplasm of frontal sinus
  • C31.3 Malignant neoplasm of sphenoid sinus
  • C31.8 Malignant neoplasm of overlapping sites of accessory sinuses
  • C31.9 Malignant neoplasm of accessory sinus, unspecified
  • C32.0 Malignant neoplasm of glottis
  • C32.1 Malignant neoplasm of supraglottis
  • C32.2 Malignant neoplasm of subglottis
  • C32.3 Malignant neoplasm of laryngeal cartilage
  • C32.8 Malignant neoplasm of overlapping sites of larynx
  • C32.9 Malignant neoplasm of larynx, unspecified
  • C33 Malignant neoplasm of trachea
  • C73 Malignant neoplasm of thyroid gland
  • C75.0 Malignant neoplasm of parathyroid gland
  • C77.0 Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck
  • C80.1 Malignant (primary) neoplasm, unspecified
  • C45.9 Mesothelioma, unspecified
  • G73.1 Lambert-Eaton syndrome in neoplastic disease
  • C43.0 Malignant melanoma of lip
  • D03.0 Melanoma in situ of lip
  • C43.20 Malignant melanoma of unspecified ear and external auricular canal
  • C43.21 Malignant melanoma of right ear and external auricular canal
  • C43.22 Malignant melanoma of left ear and external auricular canal
  • D03.20 Melanoma in situ of unspecified ear and external auricular canal
  • D03.21 Melanoma in situ of right ear and external auricular canal
  • D03.22 Melanoma in situ of left ear and external auricular canal
  • D10.1 Benign neoplasm of tongue
  • D10.30 Benign neoplasm of unspecified part of mouth
  • D10.39 Benign neoplasm of other parts of mouth
  • D10.5 Benign neoplasm of other parts of oropharynx
  • D10.6 Benign neoplasm of nasopharynx
  • D10.7 Benign neoplasm of hypopharynx
  • D10.9 Benign neoplasm of pharynx, unspecified
  • D13.0 Benign neoplasm of esophagus
  • D14.0 Benign neoplasm of middle ear, nasal cavity and accessory sinuses
  • D14.1 Benign neoplasm of larynx
  • D14.2 Benign neoplasm of trachea
  • D34 Benign neoplasm of thyroid gland
  • D00.00 Carcinoma in situ of oral cavity, unspecified site
  • D00.01 Carcinoma in situ of labial mucosa and vermilion border
  • D00.02 Carcinoma in situ of buccal mucosa
  • D00.03 Carcinoma in situ of gingiva and edentulous alveolar ridge
  • D00.04 Carcinoma in situ of soft palate
  • D00.05 Carcinoma in situ of hard palate
  • D00.06 Carcinoma in situ of floor of mouth
  • D00.07 Carcinoma in situ of tongue
  • D00.08 Carcinoma in situ of pharynx
  • D02.0 Carcinoma in situ of larynx
  • D02.1 Carcinoma in situ of trachea
  • D02.3 Carcinoma in situ of other parts of respiratory system
  • D37.01 Neoplasm of uncertain behavior of lip
  • D37.02 Neoplasm of uncertain behavior of tongue
  • D37.04 Neoplasm of uncertain behavior of the minor salivary glands
  • D37.05 Neoplasm of uncertain behavior of pharynx
  • D37.09 Neoplasm of uncertain behavior of other specified sites of the oral cavity
  • D38.0 Neoplasm of uncertain behavior of larynx
  • D44.6 Neoplasm of uncertain behavior of carotid body
  • D48.1 Neoplasm of uncertain behavior of aortic body and other paraganglia
  • D48.2 Neoplasm of uncertain behavior of peripheral nerves and autonomic nervous system
  • E04.0 Nontoxic diffuse goiter
  • E01.2 Iodine-deficiency related (endemic) goiter, unspecified
  • E04.9 Nontoxic goiter, unspecified
  • E01.0 Iodine-deficiency related diffuse (endemic) goiter
  • E04.1 Nontoxic single thyroid nodule
  • E04.2 Nontoxic multinodular goiter
  • E01.1 Iodine-deficiency related multinodular (endemic) goiter
  • E04.9 Nontoxic goiter, unspecified
  • E04.8 Other specified nontoxic goiter
  • E05.00 Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm
  • E05.01 Thyrotoxicosis with diffuse goiter with thyrotoxic crisis or storm
  • E05.10 Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm
  • E05.11 Thyrotoxicosis with toxic single thyroid nodule with thyrotoxic crisis or storm
  • E05.20 Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm
  • E05.21 Thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm
  • F98.5 Adult onset fluency disorder
  • G96.0 Cerebrospinal fluid leak
  • G50.1 Atypical facial pain
  • G52.0 Disorders of olfactory nerve
  • H65.20 Chronic serous otitis media, unspecified ear
  • H65.21 Chronic serous otitis media, right ear
  • H65.22 Chronic serous otitis media, left ear
  • H65.23 Chronic serous otitis media, bilateral
  • H65.30 Chronic mucoid otitis media, unspecified ear
  • H65.31 Chronic mucoid otitis media, right ear
  • H65.32 Chronic mucoid otitis media, left ear
  • H65.33 Chronic mucoid otitis media, bilateral
  • H68.009 Unspecified Eustachian salpingitis, unspecified ear
  • H68.001 Unspecified Eustachian salpingitis, right ear
  • H68.002 Unspecified Eustachian salpingitis, left ear
  • H68.003 Unspecified Eustachian salpingitis, bilateral
  • H68.019 Acute Eustachian salpingitis, unspecified ear
  • H68.011 Acute Eustachian salpingitis, right ear
  • H68.012 Acute Eustachian salpingitis, left ear
  • H68.013 Acute Eustachian salpingitis, bilateral
  • H68.029 Chronic Eustachian salpingitis, unspecified ear
  • H68.021 Chronic Eustachian salpingitis, right ear
  • H68.022 Chronic Eustachian salpingitis, left ear
  • H68.023 Chronic Eustachian salpingitis, bilateral
  • H68.109 Unspecified obstruction of Eustachian tube, unspecified ear
  • H68.101 Unspecified obstruction of Eustachian tube, right ear
  • H68.102 Unspecified obstruction of Eustachian tube, left ear
  • H68.103 Unspecified obstruction of Eustachian tube, bilateral
  • H68.119 Osseous obstruction of Eustachian tube, unspecified ear
  • H68.111 Osseous obstruction of Eustachian tube, right ear
  • H68.112 Osseous obstruction of Eustachian tube, left ear
  • H68.113 Osseous obstruction of Eustachian tube, bilateral
  • H68.129 Intrinsic cartilagenous obstruction of Eustachian tube, unspecified ear
  • H68.121 Intrinsic cartilagenous obstruction of Eustachian tube, right ear
  • H68.122 Intrinsic cartilagenous obstruction of Eustachian tube, left ear
  • H68.123 Intrinsic cartilagenous obstruction of Eustachian tube, bilateral
  • H68.139 Extrinsic cartilagenous obstruction of Eustachian tube, unspecified ear
  • H68.131 Extrinsic cartilagenous obstruction of Eustachian tube, right ear
  • H68.132 Extrinsic cartilagenous obstruction of Eustachian tube, left ear
  • H68.133 Extrinsic cartilagenous obstruction of Eustachian tube, bilateral
  • H74.19 Adhesive middle ear disease, unspecified ear
  • H74.11 Adhesive right middle ear disease
  • H74.12 Adhesive left middle ear disease
  • H74.13 Adhesive middle ear disease, bilateral
  • J02.9 Acute pharyngitis, unspecified
  • J02.8 Acute pharyngitis due to other specified organisms
  • J04.0 Acute laryngitis
  • J05.0 Acute obstructive laryngitis [croup]
  • J04.10 Acute tracheitis without obstruction
  • J04.11 Acute tracheitis with obstruction
  • J04.2 Acute laryngotracheitis
  • J05.10 Acute epiglottitis without obstruction
  • J05.11 Acute epiglottitis with obstruction
  • J31.2 Chronic pharyngitis
  • J31.1 Chronic nasopharyngitis
  • J35.01 Chronic tonsillitis
  • J35.02 Chronic adenoiditis
  • J35.03 Chronic tonsillitis and adenoiditis
  • J35.3 Hypertrophy of tonsils with hypertrophy of adenoids
  • J35.1 Hypertrophy of tonsils
  • J35.2 Hypertrophy of adenoids
  • J35.8 Other chronic diseases of tonsils and adenoids
  • J35.9 Chronic disease of tonsils and adenoids, unspecified
  • J37.0 Chronic laryngitis
  • J37.1 Chronic laryngotracheitis
  • J34.0 Abscess, furuncle and carbuncle of nose
  • J34.1 Cyst and mucocele of nose and nasal sinus
  • J34.89 Other specified disorders of nose and nasal sinuses
  • J34.9 Unspecified disorder of nose and nasal sinuses
  • R09.81 Nasal congestion
  • J39.1 Other abscess of pharynx
  • J39.0 Retropharyngeal and parapharyngeal abscess
  • J39.2 Other diseases of pharynx
  • J38.01 Paralysis of vocal cords and larynx, unilateral
  • J38.02 Paralysis of vocal cords and larynx, bilateral
  • J38.1 Polyp of vocal cord and larynx
  • J38.3 Other diseases of vocal cords
  • J38.2 Nodules of vocal cords
  • J38.4 Edema of larynx
  • J38.7 Other diseases of larynx
  • J38.6 Stenosis of larynx
  • J38.5 Laryngeal spasm
  • J39.3 Upper respiratory tract hypersensitivity reaction, site unspecified
  • J96.00 Acute respiratory failure, unspecified whether with hypoxia or hypercapnia
  • J96.90 Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia
  • J96.01 Acute respiratory failure with hypoxia
  • J96.02 Acute respiratory failure with hypercapnia
  • J96.91 Respiratory failure, unspecified with hypoxia
  • J96.92 Respiratory failure, unspecified with hypercapnia
  • K12.2 Cellulitis and abscess of mouth
  • K21.0 Gastro-esophageal reflux disease with esophagitis
  • K22.2 Esophageal obstruction
  • K22.8 Other specified diseases of esophagus
  • J86.0 Pyothorax with fistula
  • M33.90 Dermatopolymyositis, unspecified, organ involvement unspecified
  • M33.00 Juvenile dermatopolymyositis, organ involvement unspecified
  • M33.01 Juvenile dermatopolymyositis with respiratory involvement
  • M33.02 Juvenile dermatopolymyositis with myopathy
  • M33.09 Juvenile dermatopolymyositis with other organ involvement
  • M33.10 Other dermatopolymyositis, organ involvement unspecified
  • M33.11 Other dermatopolymyositis with respiratory involvement
  • M33.12 Other dermatopolymyositis with myopathy
  • M33.19 Other dermatopolymyositis with other organ involvement
  • M33.91 Dermatopolymyositis, unspecified with respiratory involvement
  • M33.92 Dermatopolymyositis, unspecified with myopathy
  • M33.99 Dermatopolymyositis, unspecified with other organ involvement
  • M36.0 Dermato(poly)myositis in neoplastic disease
  • M06.9 Rheumatoid arthritis, unspecified
  • M05.40 Rheumatoid myopathy with rheumatoid arthritis of unspecified site
  • M05.411 Rheumatoid myopathy with rheumatoid arthritis of right shoulder
  • M05.412 Rheumatoid myopathy with rheumatoid arthritis of left shoulder
  • M05.419 Rheumatoid myopathy with rheumatoid arthritis of unspecified shoulder
  • M05.421 Rheumatoid myopathy with rheumatoid arthritis of right elbow
  • M05.422 Rheumatoid myopathy with rheumatoid arthritis of left elbow
  • M05.429 Rheumatoid myopathy with rheumatoid arthritis of unspecified elbow
  • M05.431 Rheumatoid myopathy with rheumatoid arthritis of right wrist
  • M05.432 Rheumatoid myopathy with rheumatoid arthritis of left wrist
  • M05.439 Rheumatoid myopathy with rheumatoid arthritis of unspecified wrist
  • M05.441 Rheumatoid myopathy with rheumatoid arthritis of right hand
  • M05.442 Rheumatoid myopathy with rheumatoid arthritis of left hand
  • M05.449 Rheumatoid myopathy with rheumatoid arthritis of unspecified hand
  • M05.451 Rheumatoid myopathy with rheumatoid arthritis of right hip
  • M05.452 Rheumatoid myopathy with rheumatoid arthritis of left hip
  • M05.459 Rheumatoid myopathy with rheumatoid arthritis of unspecified hip
  • M05.461 Rheumatoid myopathy with rheumatoid arthritis of right knee
  • M05.462 Rheumatoid myopathy with rheumatoid arthritis of left knee
  • M05.469 Rheumatoid myopathy with rheumatoid arthritis of unspecified knee
  • M05.471 Rheumatoid myopathy with rheumatoid arthritis of right ankle and foot
  • M05.472 Rheumatoid myopathy with rheumatoid arthritis of left ankle and foot
  • M05.479 Rheumatoid myopathy with rheumatoid arthritis of unspecified ankle and foot
  • M05.49 Rheumatoid myopathy with rheumatoid arthritis of multiple sites
  • M05.50 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified site
  • M05.511 Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder
  • M05.512 Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder
  • M05.519 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified shoulder
  • M05.521 Rheumatoid polyneuropathy with rheumatoid arthritis of right elbow
  • M05.522 Rheumatoid polyneuropathy with rheumatoid arthritis of left elbow
  • M05.529 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified elbow
  • M05.531 Rheumatoid polyneuropathy with rheumatoid arthritis of right wrist
  • M05.532 Rheumatoid polyneuropathy with rheumatoid arthritis of left wrist
  • M05.539 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified wrist
  • M05.541 Rheumatoid polyneuropathy with rheumatoid arthritis of right hand
  • M05.542 Rheumatoid polyneuropathy with rheumatoid arthritis of left hand
  • M05.549 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hand
  • M05.551 Rheumatoid polyneuropathy with rheumatoid arthritis of right hip
  • M05.552 Rheumatoid polyneuropathy with rheumatoid arthritis of left hip
  • M05.559 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hip
  • M05.561 Rheumatoid polyneuropathy with rheumatoid arthritis of right knee
  • M05.562 Rheumatoid polyneuropathy with rheumatoid arthritis of left knee
  • M05.569 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified knee
  • M05.571 Rheumatoid polyneuropathy with rheumatoid arthritis of right ankle and foot
  • M05.572 Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and foot
  • M05.579 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified ankle and foot
  • M05.59 Rheumatoid polyneuropathy with rheumatoid arthritis of multiple sites
  • M05.70 Rheumatoid arthritis with rheumatoid factor of unspecified site without organ or systems involvement
  • M05.711 Rheumatoid arthritis with rheumatoid factor of right shoulder without organ or systems involvement
  • M05.712 Rheumatoid arthritis with rheumatoid factor of left shoulder without organ or systems involvement
  • M05.719 Rheumatoid arthritis with rheumatoid factor of unspecified shoulder without organ or systems involvement
  • M05.721 Rheumatoid arthritis with rheumatoid factor of right elbow without organ or systems involvement
  • M05.722 Rheumatoid arthritis with rheumatoid factor of left elbow without organ or systems involvement
  • M05.729 Rheumatoid arthritis with rheumatoid factor of unspecified elbow without organ or systems involvement
  • M05.731 Rheumatoid arthritis with rheumatoid factor of right wrist without organ or systems involvement
  • M05.732 Rheumatoid arthritis with rheumatoid factor of left wrist without organ or systems involvement
  • M05.739 Rheumatoid arthritis with rheumatoid factor of unspecified wrist without organ or systems involvement
  • M05.741 Rheumatoid arthritis with rheumatoid factor of right hand without organ or systems involvement
  • M05.742 Rheumatoid arthritis with rheumatoid factor of left hand without organ or systems involvement
  • M05.749 Rheumatoid arthritis with rheumatoid factor of unspecified hand without organ or systems involvement
  • M05.751 Rheumatoid arthritis with rheumatoid factor of right hip without organ or systems involvement
  • M05.752 Rheumatoid arthritis with rheumatoid factor of left hip without organ or systems involvement
  • M05.759 Rheumatoid arthritis with rheumatoid factor of unspecified hip without organ or systems involvement
  • M05.761 Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement
  • M05.762 Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement
  • M05.769 Rheumatoid arthritis with rheumatoid factor of unspecified knee without organ or systems involvement
  • M05.771 Rheumatoid arthritis with rheumatoid factor of right ankle and foot without organ or systems involvement
  • M05.772 Rheumatoid arthritis with rheumatoid factor of left ankle and foot without organ or systems involvement
  • M05.779 Rheumatoid arthritis with rheumatoid factor of unspecified ankle and foot without organ or systems involvement
  • M05.79 Rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systems involvement
  • M05.80 Other rheumatoid arthritis with rheumatoid factor of unspecified site
  • M05.811 Other rheumatoid arthritis with rheumatoid factor of right shoulder
  • M05.812 Other rheumatoid arthritis with rheumatoid factor of left shoulder
  • M05.819 Other rheumatoid arthritis with rheumatoid factor of unspecified shoulder
  • M05.821 Other rheumatoid arthritis with rheumatoid factor of right elbow
  • M05.822 Other rheumatoid arthritis with rheumatoid factor of left elbow
  • M05.829 Other rheumatoid arthritis with rheumatoid factor of unspecified elbow
  • M05.831 Other rheumatoid arthritis with rheumatoid factor of right wrist
  • M05.832 Other rheumatoid arthritis with rheumatoid factor of left wrist
  • M05.839 Other rheumatoid arthritis with rheumatoid factor of unspecified wrist
  • M05.841 Other rheumatoid arthritis with rheumatoid factor of right hand
  • M05.842 Other rheumatoid arthritis with rheumatoid factor of left hand
  • M05.849 Other rheumatoid arthritis with rheumatoid factor of unspecified hand
  • M05.851 Other rheumatoid arthritis with rheumatoid factor of right hip
  • M05.852 Other rheumatoid arthritis with rheumatoid factor of left hip
  • M05.859 Other rheumatoid arthritis with rheumatoid factor of unspecified hip
  • M05.861 Other rheumatoid arthritis with rheumatoid factor of right knee
  • M05.862 Other rheumatoid arthritis with rheumatoid factor of left knee
  • M05.869 Other rheumatoid arthritis with rheumatoid factor of unspecified knee
  • M05.871 Other rheumatoid arthritis with rheumatoid factor of right ankle and foot
  • M05.872 Other rheumatoid arthritis with rheumatoid factor of left ankle and foot
  • M05.879 Other rheumatoid arthritis with rheumatoid factor of unspecified ankle and foot
  • M05.89 Other rheumatoid arthritis with rheumatoid factor of multiple sites
  • M05.9 Rheumatoid arthritis with rheumatoid factor, unspecified
  • M06.00 Rheumatoid arthritis without rheumatoid factor, unspecified site
  • M06.011 Rheumatoid arthritis without rheumatoid factor, right shoulder
  • M06.012 Rheumatoid arthritis without rheumatoid factor, left shoulder
  • M06.019 Rheumatoid arthritis without rheumatoid factor, unspecified shoulder
  • M06.021 Rheumatoid arthritis without rheumatoid factor, right elbow
  • M06.022 Rheumatoid arthritis without rheumatoid factor, left elbow
  • M06.029 Rheumatoid arthritis without rheumatoid factor, unspecified elbow
  • M06.031 Rheumatoid arthritis without rheumatoid factor, right wrist
  • M06.032 Rheumatoid arthritis without rheumatoid
  • M06.30 Rheumatoid nodule, unspecified site
  • M06.311 Rheumatoid nodule, right shoulder
  • M06.312 Rheumatoid nodule, left shoulder
  • M06.319 Rheumatoid nodule, unspecified shoulder
  • M06.321 Rheumatoid nodule, right elbow
  • M06.322 Rheumatoid nodule, left elbow
  • M06.329 Rheumatoid nodule, unspecified elbow
  • M06.331 Rheumatoid nodule, right wrist
  • M06.332 Rheumatoid nodule, left wrist
  • M06.339 Rheumatoid nodule, unspecified wrist
  • M06.341 Rheumatoid nodule, right hand
  • M06.342 Rheumatoid nodule, left hand
  • M06.349 Rheumatoid nodule, unspecified hand
  • M06.351 Rheumatoid nodule, right hip
  • M06.352 Rheumatoid nodule, left hip
  • M06.359 Rheumatoid nodule, unspecified hip
  • M06.361 Rheumatoid nodule, right knee
  • M06.362 Rheumatoid nodule, left knee
  • M06.369 Rheumatoid nodule, unspecified knee
  • M06.371 Rheumatoid nodule, right ankle and foot
  • M06.372 Rheumatoid nodule, left ankle and foot
  • M06.379 Rheumatoid nodule, unspecified ankle and foot
  • M06.38 Rheumatoid nodule, vertebrae
  • M06.39 Rheumatoid nodule, multiple sites
  • M06.80 Other specified rheumatoid arthritis, unspecified site
  • M06.811 Other specified rheumatoid arthritis, right shoulder
  • M06.812 Other specified rheumatoid arthritis, left shoulder
  • M06.819 Other specified rheumatoid arthritis, unspecified shoulder
  • M06.821 Other specified rheumatoid arthritis, right elbow
  • M06.822 Other specified rheumatoid arthritis, left elbow
  • M06.829 Other specified rheumatoid arthritis, unspecified elbow
  • M06.831 Other specified rheumatoid arthritis, right wrist
  • M06.832 Other specified rheumatoid arthritis, left wrist
  • M06.839 Other specified rheumatoid arthritis, unspecified wrist
  • M06.841 Other specified rheumatoid arthritis, right hand
  • M06.842 Other specified rheumatoid arthritis, left hand
  • M06.849 Other specified rheumatoid arthritis, unspecified hand
  • M06.851 Other specified rheumatoid arthritis, right hip
  • M06.852 Other specified rheumatoid arthritis, left hip
  • M06.859 Other specified rheumatoid arthritis, unspecified hip
  • M06.861 Other specified rheumatoid arthritis, right knee
  • M06.862 Other specified rheumatoid arthritis, left knee
  • M06.869 Other specified rheumatoid arthritis, unspecified knee
  • M06.871 Other specified rheumatoid arthritis, right ankle and foot
  • M06.872 Other specified rheumatoid arthritis, left ankle and foot
  • M06.879 Other specified rheumatoid arthritis, unspecified ankle and foot
  • M06.88 Other specified rheumatoid arthritis, vertebrae
  • Q30.00 Choanal atresia
  • Q31.0 Web of larynx
  • Q31.1 Congenital subglottic stenosis
  • Q31.3 Laryngocele
  • Q31.8 Other congenital malformations of larynx
  • Q32.1 Other congenital malformations of trachea
  • Q32.4 Other congenital malformations of bronchus
  • Q31.2 Laryngeal hypoplasia
  • Q31.5 Congenital laryngomalacia
  • Q31.9 Congenital malformation of larynx, unspecified
  • Q32.0 Congenital tracheomalacia
  • Q32.2 Congenital bronchomalacia
  • Q32.3 Congenital stenosis of bronchus
  • Q38.7 Congenital pharyngeal pouch
  • Q38.8 Other congenital malformations of pharynx
  • Q39.0 Atresia of esophagus without fistula
  • Q39.1 Atresia of esophagus with tracheo-esophageal fistula
  • Q39.2 Congenital tracheo-esophageal fistula without atresia
  • Q39.3 Congenital stenosis and stricture of esophagus
  • Q39.4 Esophageal web
  • G47.30 Sleep apnea, unspecified
  • R43.0 Anosmia
  • R43.1 Parosmia
  • R43.2 Parageusia
  • R43.8 Other disturbances of smell and taste
  • R43.9 Unspecified disturbances of smell and taste
  • G41.1 Vascular headache, not elsewhere classified
  • R51 Headache
  • R07.0 Pain in throat
  • R22.0 Localized swelling, mass and lump, head
  • R22.1 Localized swelling, mass and lump, neck
  • R90.0 Intracranial space-occupying lesion found on diagnostic imaging of central nervous system
  • R49.1 Aphonia
  • R49.8 Other voice and resonance disorders
  • R49.9 Unspecified voice disorder
  • R06.1 Srtridor
  • R05 Cough
  • R04.2 Hemoptysis
  • R04.9 Hemorrhage from respiratory passages, unspecified
  • R04.81 Acute idiopathic pulmonary hemorrhage in infants
  • R04.89 Hemorrhage from other sites in respiratory passages
  • T17.200A Unspecified foreign body in pharynx causing asphyxiation, initial encounter
  • T17.200D Unspecified foreign body in pharynx causing asphyxiation, subsequent encounter
  • T17.200S Unspecified foreign body in pharynx causing asphyxiation, sequela
  • T17.208A Unspecified foreign body in pharynx causing other injury, initial encounter
  • T17.208D Unspecified foreign body in pharynx causing other injury, subsequent encounter
  • T17.208D Unspecified foreign body in pharynx causing other injury, sequela
  • T17.210A Gastric contents in pharynx causing asphyxiation, initial encounter
  • T17.210D Gastric contents in pharynx causing asphyxiation, subsequent encounter
  • T17.210S Gastric contents in pharynx causing asphyxiation, sequela
  • T17.218A Gastric contents in pharynx causing other injury, initial encounter
  • T17.218D Gastric contents in pharynx causing other injury, subsequent encounter
  • T17.218S Gastric contents in pharynx causing other injury, sequela
  • T17.220A Food in pharynx causing asphyxiation, initial encounter
  • T17.220D Food in pharynx causing asphyxiation, subsequent encounter
  • T17.220S Food in pharynx causing asphyxiation, sequela
  • T17.228A Food in pharynx causing other injury, initial encounter
  • T17.228D Food in pharynx causing other injury, subsequent encounter
  • T17.228S Food in pharynx causing other injury, sequela
  • T17.290A Other foreign object in pharynx causing asphyxiation, initial encounter
  • T17.290D Other foreign object in pharynx causing asphyxiation, subsequent encounter
  • T17.290S Other foreign object in pharynx causing asphyxiation, sequela
  • T17.298A Other foreign object in pharynx causing other injury, initial encounter
  • T17.298D Other foreign object in pharynx causing other injury, subsequent encounter
  • T17.298S Other foreign object in pharynx causing other injury, sequela
  • T17.300A Unspecified foreign body in larynx causing asphyxiation, initial encounter
  • T17.300D Unspecified foreign body in larynx causing asphyxiation, subsequent encounter
  • T17.300S Unspecified foreign body in larynx causing asphyxiation, sequela
  • T17.308A Unspecified foreign body in larynx causing other injury, initial encounter
  • T17.308D Unspecified foreign body in larynx causing other injury, subsequent encounter
  • T17.308D Unspecified foreign body in larynx causing other injury, sequela
  • T17.310A Gastric contents in larynx causing asphyxiation, initial encounter
  • T17.310D Gastric contents in larynx causing asphyxiation, subsequent encounter
  • T17.310S Gastric contents in larynx causing asphyxiation, sequela
  • T17.318A Gastric contents in larynx causing other injury, initial encounter
  • T17.318D Gastric contents in larynx causing other injury, subsequent encounter
  • T17.318S Gastric contents in larynx causing other injury, sequela
  • T17.320A Food in larynx causing asphyxiation, initial encounter
  • T17.320D Food in larynx causing asphyxiation, subsequent encounter
  • T17.320S Food in larynx causing asphyxiation, sequela
  • T17.328A Food in larynx causing other injury, initial encounter
  • T17.328D Food in larynx causing other injury, subsequent encounter
  • T17.328S Food in larynx causing other injury, sequela
  • T17.390A Other foreign object in larynx causing asphyxiation, initial encounter
  • T17.390D Other foreign object in larynx causing asphyxiation, subsequent encounter
  • T17.390S Other foreign object in larynx causing asphyxiation, sequela
  • T17.398A Other foreign object in larynx causing other injury, initial encounter
  • T17.398D Other foreign object in larynx causing other injury, subsequent encounter
  • T17.398S Other foreign object in larynx causing other injury, sequela
  • T18.100A Unspecified foreign body in esophagus causing compression of trachea, initial encounter
  • T18.100D Unspecified foreign body in esophagus causing compression of trachea, subsequent encounter
  • T18.100S Unspecified foreign body in esophagus causing compression of trachea, sequela
  • T18.108A Unspecified foreign body in esophagus causing other injury, initial encounter
  • T18.108D Unspecified foreign body in esophagus causing other injury, subsequent encounter
  • T18.108D Unspecified foreign body in esophagus causing other injury, sequela
  • T18.110A Gastric contents in esophagus causing compression of trachea, initial encounter
  • T18.110D Gastric contents in esophagus causing compression of trachea, subsequent encounter
  • T18.110S Gastric contents in esophagus causing compression of trachea, sequela
  • T18.118A Gastric contents in esophagus causing other injury, initial encounter
  • T18.118D Gastric contents in esophagus causing other injury, subsequent encounter
  • T18.118S Gastric contents in esophagus causing other injury, sequela
  • T18.120A Food in esophagus causing compression of trachea, initial encounter
  • T18.120D Food in esophagus causing compression of trachea, subsequent encounter
  • T18.120S Food in esophagus causing compression of trachea, sequela
  • T18.128A Food in esophagus causing other injury, initial encounter
  • T18.128D Food in esophagus causing other injury, subsequent encounter
  • T18.128S Food in esophagus causing other injury, sequela
  • T18.190A Other foreign object in esophagus causing compression of trachea, initial encounter
  • T18.190D Other foreign object in esophagus causing compression of trachea, subsequent encounter
  • T18.190S Other foreign object in esophagus causing compression of trachea, sequela
  • T18.198A Other foreign object in esophagus causing other injury, initial encounter
  • T18.198D Other foreign object in esophagus causing other injury, subsequent encounter
  • T18.198S Other foreign object in esophagus causing other injury, sequela
  • Z85.9 Personal history of malignant neoplasm of other organs and systems
  • Z87.891 Personal history of nicotine dependence
  • R06.00 Dyspnea, unspecified
  • R06.09 Other forms of dyspnea
  • R06.3 Periodic breathing
  • R06.83 Snoring
  • R06.89 Other abnormalities of breathing
  • J98.8 Other specified respiratory disorders
  • J22 Unspecified acute lower respiratory infection
  • K13.70 Unspecified lesions of oral mucosa
  • K13.79 Other lesions of oral mucosa
  • E08.638 Diabetes mellitus due to underlying condition with other oral complications
  • E09.638 Drug or chemical induced diabetes mellitus with other oral complications
  • K13.1 Cheek and lip biting
  • K13.4 Granuloma and granuloma-like lesions of oral mucosa
  • K13.6 Irritative hyperplasia of oral mucosa
  • R06.82 Tachypnea, not elsewhere classified
  • R06.2 Wheezing
  • J39.8 Other specified diseases of upper respiratory tract
  • J98.09 Other diseases of bronchus, not elsewhere classified
  • J96.10 Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia
  • R23.0 Cyanosis
  • M54.2 Cervicalgia
  • T17.400A Unspecified foreign body in trachea causing asphyxiation, initial encounter
  • T17.400D Unspecified foreign body in trachea causing asphyxiation, subsequent encounter
  • T17.400S Unspecified foreign body in trachea causing asphyxiation, sequela
  • T17.408A Unspecified foreign body in trachea causing other injury, initial encounter
  • T17.408D Unspecified foreign body in trachea causing other injury, subsequent encounter
  • T17.408D Unspecified foreign body in trachea causing other injury, sequela
  • T17.410A Gastric contents in trachea causing asphyxiation, initial encounter
  • T17.410D Gastric contents in trachea causing asphyxiation, subsequent encounter
  • T17.410S Gastric contents in trachea causing asphyxiation, sequela
  • T17.418A Gastric contents in trachea causing other injury, initial encounter
  • T17.418D Gastric contents in trachea causing other injury, subsequent encounter
  • T17.418S Gastric contents in trachea causing other injury, sequela
  • T17.420A Food in trachea causing asphyxiation, initial encounter
  • T17.420D Food in trachea causing asphyxiation, subsequent encounter
  • T17.420S Food in trachea causing asphyxiation, sequela
  • T17.428A Food in trachea causing other injury, initial encounter
  • T17.428D Food in trachea causing other injury, subsequent encounter
  • T17.428S Food in trachea causing other injury, sequela
  • T17.490A Other foreign object in trachea causing asphyxiation, initial encounter
  • T17.490D Other foreign object in trachea causing asphyxiation, subsequent encounter
  • T17.490S Other foreign object in trachea causing asphyxiation, sequela
  • T17.498A Other foreign object in trachea causing other injury, initial encounter
  • T17.498D Other foreign object in trachea causing other injury, subsequent encounter
  • T17.498S Other foreign object in trachea causing other injury, sequela
  • G47.33 Obstructive sleep apnea (adult) (pediatric)
  • G47.30 Sleep apnea, unspecified
  • G960 Cerebrospinal fluid leak
  • R130 Aphagia
  • R1310 Dysphagia, unspecified
  • R1311 Dysphagia, oral phase
  • R1312 Dysphagia, oropharyngeal phase
  • R1313 Dysphasia, pharyngeal phase
  • R1314 Dysphagia, pharyngoesophageal phase
  • R1319 Other dysphagia

Patient Information

Laryngoscopy and nasopharyngoscopy are diagnostic procedures using a flexible or rigid endoscope usually performed in the office. The endoscope is attached to a bright light to look into the nasal passages and back of the throat as far down as the voice box. The instrument may be passed through the mouth or nose. Sometimes a topical anesthetic and/or decongestant spray is used to shrink and numb the nasal and/or oropharyngeal tissue. This frequently performed examination allows for a more thorough look at the nose, mouth and throat in order to diagnose problems that are otherwise difficult to visualize. Complications associated with this examination are rare and include temporary sneezing, coughing, gagging, and minor bleeding.

Important Disclaimer Notice (Updated 8/7/14)

Clinical indicators for otolaryngology serve as a checklist for practitioners and a quality care review tool for clinical departments. The American Academy of Otolaryngology—Head and Neck Surgery, Inc. and Foundation (AAO-HNS/F) Clinical Indicators are intended as suggestions, not rules, and should be modified by users when deemed medically necessary. In no sense do they represent a standard of care. The applicability of an indicator for a procedure must be determined by the responsible physician in light of all the circumstances presented by the individual patient. Adherence to these clinical indicators will not ensure successful treatment in every situation. The AAO-HNS/F emphasizes that these clinical indicators should not be deemed inclusive of all proper treatment decisions or methods of care, nor exclusive of other treatment decisions or methods of care reasonably directed to obtaining the same results. The AAO-HNS/F is not responsible for treatment decisions or care provided by individual physicians. Clinical indicators are not intended to and should not be treated as legal, medical, or business advice.

CPT five-digit codes, nomenclature and other data are copyright 2014 American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values or related listings are included in CPT. The AMA assumes no liability for the data contained herein.

Updated January 2015


© 2014 American Academy of Otolaryngology-Head and Neck Surgery. 1650 Diagonal Road Alexandria, VA 22314.

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