laryngectomy

DEFINITION of laryngectomy

A laryngectomy is a surgical procedure involving the removal of all or part of the larynx, the area of the throat that contains the vocal cords. In a total laryngectomy, the entire larynx is removed including the vocal folds, hyoid bone, epiglottis, and thyroid cartilage. The surgery involves creating a new airway that allows the patient to breathe. This procedure affects how the patient breathes, speaks, and swallows. It is almost exclusively performed due to laryngeal tumor, primarily squamous cell carcinoma. The first total laryngectomy for cancer was performed by Billroth on December 31, 1873.

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ETYMOLOGY of laryngectomy

greek

• Origin: First recorded in 1885-90;
• Components:
  • laryng-: from Greek larynx (windpipe, throat, larynx)
  • -ectomy: from Greek ek “out” + tomia “a cutting” (from temnein “to cut”)
• Literal meaning: “cutting out of the larynx”

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Related Terms

Term	Definition
Larynx	The voice box; contains vocal cords
Total Laryngectomy	Complete removal of the larynx
Partial Laryngectomy	Removal of part of the larynx
Hemilaryngectomy	Removal of one half of the larynx
Radical Neck dissection	Removal of lymph nodes and surrounding tissue, often done with laryngectomy
Tracheostoma	Permanent opening in the neck for breathing after laryngectomy
Laryngectomee	A person who has had a laryngectomy
-ectomy	Suffix meaning “surgical removal”
laryngo-	Prefix meaning “pertaining to the larynx”

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CODING AND NUANCES

ICD-10-CM (Diagnosis Codes)

Code	Description
Z90.02	Acquired absence of larynx (history of laryngectomy)
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 lesion of larynx
C32.9	Malignant neoplasm of larynx, unspecified
J38.7	Other diseases of larynx

ICD-10-PCS (Procedure Codes)

Code	Description
0CTS0ZZ	Resection of Larynx, Open Approach
0CTS4ZZ	Resection of Larynx, Percutaneous Endoscopic Approach
0CTS7ZZ	Resection of Larynx, Via Natural or Artificial Opening
0CTS8ZZ	Resection of Larynx, Via Natural or Artificial Opening Endoscopic
0CRS07Z	Replacement of Larynx with Autologous Tissue Substitute, Open Approach
0CRS0JZ	Replacement of Larynx with Synthetic Substitute, Open Approach

CPT Codes

Code	Description
31360	Laryngectomy; total, without radical neck dissection
31365	Laryngectomy; total, with radical neck dissection
31367	Laryngectomy; subtotal supraglottis, without radical neck dissection
31368	Laryngectomy; subtotal supraglottis, with radical neck dissection
31370	Laryngectomy; partial, without radical neck dissection (hemilaryngectomy)
31371	Laryngectomy; partial, with radical neck dissection
31372	Laryngectomy; partial, with pharyngectomy
31373	Laryngectomy; partial, with pharyngectomy and radical neck dissection
31375	Laryngectomy; partial, with epiglottectomy

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Note: ICD-10-CM diagnosis codes are typically 3-7 characters. ICD-10-PCS procedure codes are always 7 characters. CPT codes are 5 digits. Some codes may require additional characters/modifiers based on specific clinical circumstances. DRG 012 and 013 cover tracheostomy or laryngectomy procedures with or without complications/comorbidities

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DERIVATIONS of laryngectomy

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Query functionality

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Med roots Appendix A Prefixes Appendix B Combining Forms Appendix C Suffixes Appendix D Suffix forms