Otolaryngology Coding Alert

Hint: Whether the fistula tract is established may decide 31502. For in-office tracheostomy tube changes, you won't be able to report a separate service, but good news: you may be able to claim the cost of supplies. Also, you can report tube changes in the OR, although it will mean more work for you. Highlight these five tips, and your trach tube change claims will avoid common pitfalls. Tip 1: Choose 31502 When Fistula Tract Is Not Established For trach tube changes, you've got one CPT code: 31502 (Tracheotomy tube change prior to establishment of fistula tract). Rule: You should report this only when your physician removes the indwelling tube and replaces it before the patient has had sufficient healing time to allow a fistula tract to form. In other words, you should report 31502 only when the otolaryngologist changes a tracheostomy tube before the fistula tract has become established [...]