Emergency Tracheotomy - CDT Code Guide
Overview
CDT code D7990 refers to the emergency tracheotomy procedure, which involves creating an opening in the trachea, typically below the cricoid cartilage, to facilitate respiratory exchange. This procedure is crucial in situations where a patient's airway is obstructed and immediate intervention is necessary to ensure adequate breathing. It is often performed in emergency settings by oral and maxillofacial surgeons. The tracheotomy provides a direct airway to the lungs, bypassing obstructions in the upper airway, and is a life-saving measure in critical situations.
When to Use This Code
- Acute airway obstruction due to trauma or swelling
- Severe infections causing airway compromise
- Anaphylactic reactions leading to airway closure
- Tumors obstructing the airway
- Foreign body aspiration that cannot be removed through less invasive means
Documentation Requirements
- Detailed patient history and presenting symptoms
- Clinical notes describing the necessity of the procedure
- Pre-operative and post-operative care documentation
- Operative report detailing the procedure steps
- Consent forms signed by the patient or legal guardian
- Follow-up care instructions and outcomes
Billing Considerations
When billing for D7990, it's important to note that this code is typically used in emergency situations, which may affect pre-authorization requirements. Ensure that documentation clearly supports the emergency nature of the procedure. Common modifiers include those indicating the urgency of the procedure. Insurance coverage may vary, and it's crucial to verify with the patient's provider regarding coverage for emergency surgical interventions.
Related CDT Codes
Frequently Asked Questions
The primary purpose is to establish a direct airway to ensure adequate breathing when the upper airway is obstructed.
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