tci ED Coding & Reimbursement Alert - 2005 Issue 12

READER QUESTIONS: Report E/M for Tracheostomy

Question: What is the procedure code for a tracheostomy replacement with a Shiley-6 tube? The tube was old, and the ED physician just replaced it.Texas Subscriber Answer: For an established or old tracheostomy, the tube replacement is included in the evaluation and management code for the care. The only CPT code for replacement of a tracheostomy tube is 31502 (Tracheotomy tube change prior to establishment of fistula tract), which doesn't apply in this case. For more information, see the Winter 1990 issue of CPT Assistant. ...

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