{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T22:29:56Z","timestamp":1787869796294,"version":"build-2784847793"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T00:00:00Z","timestamp":1729209600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To analyze national trends in the prevalence of office\u2010based laryngeal ablative procedures and compare those with traditional operative excisional procedures utilizing direct laryngoscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodology<\/jats:title><jats:p>For years 2013\u20132022, the US Medicare Part B claims database was searched for Current Procedural Terminology (CPT) codes 31572 (flexible laryngoscopy with laser ablation of lesion), 31540 (operative direct laryngoscopy with excision of lesion), 31541 (operative direct microlaryngoscopy with excision of lesion), and 31545 (operative direct microlaryngoscopy with excision of lesion and local tissue flap reconstruction). For each CPT code, the total number of charges billed to the Medicare database in each calendar year was recorded and annual trends were analyzed. Biopsy procedures were not included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The annual number of office\u2010based laser procedures (CPT 31572) remained relatively constant since the CPT code was introduced in 2017 (range: 18887\u201325241 procedures annually, trendline slope\u2009=\u2009+16, <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>:0.02). Office\u2010based laser procedures comprised a small portion of total laryngeal excisional procedures (range: 8.4%\u201312.1%). The total number of operative laryngeal excisions, billed by CPT 31540 and 31541, declined over the studied time frame (Trendline slope\u2009=\u2009\u2212132, <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>:0.93; Trendline slope\u2009=\u2009\u2212950, <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>: 0.93 respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Office\u2010based laser procedures comprise a small fraction of procedures to remove laryngeal lesions. The number of office\u2010based laser procedures has been relatively stable over the last 5\u2009years. This finding contrasts with the prevailing health care trend toward office\u2010based procedures. Further research is needed to understand the decrease in operative laryngeal lesion excision procedures observed over the last 10\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 135:823\u2013828, 2025<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31847","type":"journal-article","created":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T12:14:10Z","timestamp":1729253650000},"page":"823-828","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["National Trends in Laryngeal Laser Surgery: Comparison of Operative Versus Office\u2010Based Procedures"],"prefix":"10.1002","volume":"135","author":[{"given":"Maxwell","family":"Scher","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Boston Medical Center Boston University Chobanian and Avedisian School of Medicine  Boston Massachusetts U.S.A."},{"name":"Boston University Chobanian and Avedisian School of Medicine  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha M.","family":"Shave","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School  Piscataway New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremiah C.","family":"Tracy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Tuft University School of Medicine  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7680-4713","authenticated-orcid":false,"given":"Lauren F.","family":"Tracy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Boston Medical Center Boston University Chobanian and Avedisian School of Medicine  Boston Massachusetts U.S.A."},{"name":"Boston University Chobanian and Avedisian School of Medicine  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,18]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/187493a0"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2008.09.006"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145561320960544"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940911800601"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10103-010-0834-5"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2023.104128"},{"key":"e_1_2_5_8_1","unstructured":"Garrett.Laser Surgery: Basic Principles and Safety Considerations \u2013 ClinicalKey. Accessed August 23 2024.https:\/\/www.clinicalkey.com\/#!\/content\/book\/3-s2.0-B9780323611794000594."},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1945892418804904"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/oto2.128"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.04.006"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000250898.82268.39"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.14639\/0392-100X-N0935"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10103-017-2320-9"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815597208"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2019.03.001"},{"key":"e_1_2_5_17_1","unstructured":"Federation of State Medical Boards. Report of the special committee on outpatient (office\u2010based) surgery. Accessed August 26 2024.https:\/\/www.fsmb.org\/advocacy\/policies."},{"key":"e_1_2_5_18_1","unstructured":"Medicare Physician & Other Practitioners \u2010 by Geography and Service | CMS Data. 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