Pulmonology Coding Alert

Question: What CPT code is appropriate for a tracheotomy tube change when the fistula tract is well established?

New York Subscriber

Answer: In this scenario you would not need a separate code for the change of the tube because after the fistula tract is well established the change of tracheostomy tubes is included in the evaluation and management (E/M) service for the day.

The correct code will be selected from a range such as these: 99211-99215 (office or other outpatient visit for the evaluation and management of an established patient ... ), 99231-99233 (subsequent hospital care, per day, for the evaluation and management of a patient ... ) or 99281-99285 (emergency department visit for the evaluation and management of a patient ... ).

Editors note: Cynthia DeVries, RN, BSN, CPC, coding coordinator with the Lee Physician Group, a
42-physician practice in Ft. Myers, Fla.; Tammy Chidester, CPC, billing supervisor at Upshur Medical Management Services Inc., a multi-specialty group practice in Manassas, Va.; and Susan Callaway-Stradley, CPC, CSS-P, an independent coding consultant and educator in North Augusta, S.C., provided advice to help answer these questions.