Hi everyone! Help appreciated. My provider is insisting on billing 60200 with 31600 as he feels division of the isthmus is not included in the trach procedure. He states it is more extensive as it requires more expertise and there is greater risk of bleeding. Codes are not bundled, however, all information I am finding states division of the isthmus is a part of the trach procedure. Does anyone have solid information on this that I can provide to him? He also states he does them percutaneously, not always surgically, which is still CPT 31600. UGH!