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Thread: Percutaneous Trachostomy

  1. #1
    Join Date
    Apr 2007
    Posts
    517

    Default Percutaneous Trachostomy

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    I’m getting conflicting views on this service.



    Percutaneous Tracheostomy



    I’m reading that this cannot be coded with CPT 31600 because it’s not a traditional Tracheostomy, and to use CPT 31600 and 31622 w/mod 52 or CPT 31899 (unlisted).

    Per this article: http://www.supercoder.com/articles/a...-tracheostomy/


    But than I read in Coding for Chest Medicine (Pulmonary Critical Care Sleep) book that this service is to be coded with CPT 31600 and CPT 31622 w/mod 59.



    Which one is everyone else selecting, I see the point on both sides.


    Thanks
    Daniel,CPC

  2. #2

    Question

    Quote Originally Posted by daniel View Post
    I’m getting conflicting views on this service.



    Percutaneous Tracheostomy



    I’m reading that this cannot be coded with CPT 31600 because it’s not a traditional Tracheostomy, and to use CPT 31600 and 31622 w/mod 52 or CPT 31899 (unlisted).

    Per this article: http://www.supercoder.com/articles/a...-tracheostomy/


    But than I read in Coding for Chest Medicine (Pulmonary Critical Care Sleep) book that this service is to be coded with CPT 31600 and CPT 31622 w/mod 59.



    Which one is everyone else selecting, I see the point on both sides.


    Thanks
    Daniel,CPC

    Does anyone have any information on which codes are indeed used for a percutaneous tracheostomy?

    I can not find anything expect for the above article that Daniel mentioned in early 2010, however the article is from 1999 and as a new coder just learning, I have no idea what might have changed in these descriptions since this article was written.

    Any help is greatly appreciated.

  3. #3

    Default Tracheostomy

    Percutaneous means "effected throught the skin; describes the application of a medicated ointment by friction or the removal or injection of a fluid by needle.

    I would use cpt code 31601 if the person is over 2 yrs old

    There should be only code to be used; it is going to be 31600 OR 31601 for this type of procedure.

    I hope this help you out.

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