Rajesh Posted Thu 17th of May, 2018 18:00:10 PM
I did percutaneous tracheostomy with use of FOB. In addition I did bronchoalveolar lavage because patient had pulmonary infiltrate on CXR. Can I bill 31600 Percutaneous Tracheostomy and 31624 FOB with BAL ?
SuperCoder Answered Fri 18th of May, 2018 05:07:48 AM
A percutaneous tracheostomy involves a bronchoscopic procedure to guide the percutaneous insertion of a guide wire in the trachea, which is then used to pass progressively larger dilations which opens a passage to insert a tracheostomy tube.
You wont find a particular code for percutaneous tracheostomy. Please read over the descriptor for 31730 (transtracheal [percutaneous] introduction of needle wire dilator/stent or indwelling tube for oxygen therapy). Supercoder suggest physicians to carefully read the code descriptors 31600-31899 to see if any of these codes fit what they are doing. If not, then you would use the 31899 (unlisted procedure, trachea, bronchi) and send your notes and documentation of the procedure with it. For BAL you can report 31624.
Hope that helps!