AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 3; Ask the Editor

Tracheal Agenesis with Tracheostomy Placement

A newborn with congenital tracheal agenesis developed upper airway obstruction. The baby could not be intubated in the neonatal intensive care unit (NICU) and an emergency tracheostomy was performed. During surgery, dissection continued down onto the thyroid and cricoid cartilage, without identification of tracheal rings. Instead of the trachea, a soft structure consistent with the esophagus was identified. A tracheostomy tube was then inserted into the esophagus, and connected to the circuit showing improved ventilation. What is the ICD-10-PCS code for insertion of a tracheostomy tube into the esophagus due to tracheal agenesis? ...

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