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Wiki endotracheal tubes

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TTcpc

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I am new to anesthesia and I have a case where the pt had an endotracheal tube in place for surgery and due to severe breathing difficulties was left intubated and now 2 days post op needed to have the endotracheal tube changed due to thick secretions clogging it. The only code I have found is the 31500 for the emergency insertion. Is there another code that I am missing? Also I have tried finding the ICD-9 for thick secretions and have had no luck....maybe today is just not a good day for me to code :confused:
 
Unfortunately there is not a CPT code for endotracheal tube change. I use CPT code 31599 (unlisted) comparing its value to 31500 for my charge comparison and send records. I do get paid this service.

As far as the dx code I would code the symptom i.e. respiratory insufficiency based on what was documented by the provider.

Julie, CPC
 
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