Pulmonology Coding Alert

Reader Questions:

E/M Code Goes With Routine Trace Tube Change

Question: Does anyone know if we can charge for trach decannulation? If so, what is the CPT code? This was the only reason the physician was called in.Hawaii SubscriberAnswer: This is a five-minute procedure which you should bill with inpatient subsequent hospital care 99231 (Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem[s] and the patient's and/or family's needs. Usually, the patient is stable, recovering or improving. Physicians typically spend 15 minutes at the bedside and on the patient's hospital floor or unit.) or 99232 (Subsequent hospital care, per day, for the evaluation and management of a patient, [...]
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