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Trach change – code 31502

I am looking for some clarification regarding trach change. I found some literature that states that you can only bill the 31502 code if the trach change occurs before the tract is fully established which is usually after about 7 days. If the trach change is performed after the fistula tract has been established, the trach change is part of the E/M and isn’t billed separately. Our doctor thought that we were allowed to bill the 31502 for the first trach change period. Does anyone have any info on this that can help me? Thank you in advance for your help!
Sherry

Medical Billing and Coding Forum

Trach change – code 31502

I am looking for some clarification regarding trach change. I found some literature that states that you can only bill the 31502 code if the trach change occurs before the tract is fully established which is usually after about 7 days. If the trach change is performed after the fistula tract has been established, the trach change is part of the E/M and isn’t billed separately. Our doctor thought that we were allowed to bill the 31502 for the first trach change period. Does anyone have any info on this that can help me? Thank you in advance for your help!
Sherry

Medical Billing and Coding Forum

trach coding

How would you code the scenario below?

The tube actually exits the trachea and the opening starts to narrow causing potential airway obstruction and the physician has to dilate the stoma and re position a trach tube, which is not simply a regular trach change but rather dilation of the stoma and re-positioning a tube into a closing trach stoma in an emergent setting.

Your assistance would be appreciated.

Thanks,
Cammy Waterhouse

Medical Billing and Coding Forum