On Jun 15, 2006, at 4:59 AM, Mike Schrom wrote:

CMS, and every commercial payor, already has software to do that, which 

IS used to determine payments. It's deeply flawed, for example, CPT 

31575, examination of the larynx is not payable with ICD-9-CM 478.32, 

vocal cord paralysis. How, do you know that the vocal cord is paralyzed 

unless you examine it?


Mike


Does it actually say vocal cord paralysis? Maybe someone (who isn't a doctor) looked up "vocal cord" in a book and decided it wasn't a synonym for larynx. Out of curiosity, I picked up a linguistics text I happened to have handy, "The Speech Chain"  (2nd ed.) by Peter B. Denes and, Elliot N. Pinson. On p. 49 there's an anatomy diagram with arrows labeled "larynx" and "vocal cords" pointing to ever so slightly different locations!

Gregory Woodhouse

Metaphors be with you.


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