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Thread: Percutaneous Trachostomy

  1. #1
    Join Date
    Apr 2007
    Posts
    518

    Default Percutaneous Trachostomy

    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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