Pulmonology Coding Alert
31502 Reimbursement Includes Supplies
Missouri Subscriber
Answer: You should report 31502 (Tracheotomy tube change prior to establishment of fistula tract) for the tracheostomy tube change. Typically, Medicare pays $85 when the pulmonologist performs a tracheostomy tube change in the office. When the physician performs in a facility setting, the procedure brings in $38, based on a national average. In both cases, the code's practice expense includes the physician's work, the tube and the other supplies the physician used.
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