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The CPT® Code 31730 refers to the transtracheal (percutaneous) introduction of a needle wire dilator, stent, or indwelling tube specifically for oxygen therapy. This procedure is commonly known as transtracheal oxygen therapy (TTOT) and is indicated for patients who require long-term oxygen therapy due to various respiratory conditions. The technique involves a minimally invasive approach where a needle wire dilator or stent is inserted through the trachea to facilitate the delivery of oxygen directly into the airway. The procedure begins with the identification of tracheal cartilage landmarks, ensuring precise placement. Following this, the skin is prepared, and a small incision is made at the designated entry site, typically located between the first and third tracheal rings. A guidewire is then introduced, and the tracheal opening is dilated to accommodate the stent, which is temporarily placed to allow the tracheal tract to mature. After approximately one week, once the tract has matured, the stent is removed, and an oxygen delivery catheter is inserted to provide the necessary oxygen therapy to the patient.
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The procedure described by CPT® Code 31730 is indicated for patients who require long-term oxygen therapy due to various respiratory conditions. The following are specific indications for performing transtracheal oxygen therapy (TTOT):
The procedure for CPT® Code 31730 involves several critical steps to ensure successful transtracheal oxygen therapy. The following outlines the procedural steps:
Post-procedure care for patients who have undergone CPT® Code 31730 involves monitoring for any complications and ensuring the proper functioning of the oxygen delivery system. Patients may be observed for signs of infection at the incision site or any respiratory distress. It is essential to provide instructions on how to care for the insertion site and recognize any potential complications. Follow-up appointments may be scheduled to assess the patient's response to the oxygen therapy and to make any necessary adjustments to the treatment plan. Additionally, patients should be educated on the importance of maintaining the oxygen delivery catheter and adhering to prescribed oxygen therapy regimens to ensure optimal outcomes.
| Short Descr | INTRO WINDPIPE WIRE/TUBE | Medium Descr | TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER | Long Descr | Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 42 - Other OR therapeutic procedures on respiratory system |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 53 | Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | GC | This service has been performed in part by a resident under the direction of a teaching physician | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XP | Separate practitioner, a service that is distinct because it was performed by a different practitioner |
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| 2011-01-01 | Changed | Short description changed. |
| 1993-01-01 | Added | First appearance in code book in 1993. |
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