Presence of artificial larynx

This code indicates that a patient has an artificial larynx, which is a device used to produce speech after a total laryngectomy. It serves as a prosthetic voice source, replacing the natural vocal cords. This device can be either an external vibrator or an internal tracheoesophageal puncture (TEP) prosthesis.

This code should be assigned for patients who have undergone a total laryngectomy and are utilizing an artificial larynx for speech. It is appropriate for both initial encounters and subsequent visits where the presence of the artificial larynx is relevant to the patient's care, such as for device maintenance, troubleshooting, or related medical conditions.

• Do not use this code for patients with a partial laryngectomy or those who have not had a laryngectomy but have other voice disorders.
• This code is for the presence of the device, not for the surgical procedure to implant it or for the device itself as a supply.
• Consider sequencing this code after a code for the underlying condition that necessitated the laryngectomy, if applicable and still active.