2025 CPT code 31760
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Respiratory System Surgery Feed
Tracheoplasty, intrathoracic; repair of the intrathoracic trachea to widen the airway.
Modifiers may be applicable depending on the specific circumstances of the procedure. Consult the CPT manual for appropriate modifier usage.
Medical necessity for tracheoplasty is established when a patient has significant tracheal stenosis causing respiratory compromise.This may be due to congenital anomalies, trauma, or post-intubation injury.The procedure is medically necessary to improve airflow and prevent life-threatening respiratory failure.
A thoracic surgeon or otolaryngologist typically performs this procedure.Preoperative evaluation, surgical procedure, and postoperative care are the responsibilities of the surgeon. Anesthesiologist provides and manages anesthesia.
In simple words: This surgery repairs the windpipe (trachea) in the chest to make it wider and improve breathing. The surgeon makes cuts in the windpipe, then joins and stitches the sections together to create a larger opening for air to pass through.
Tracheoplasty, intrathoracic, involves the surgical repair of the intrathoracic trachea to treat tracheal stenosis or other laryngotracheal disorders.The procedure is performed under general anesthesia with the patient in the supine position. A horizontal incision is made in the thoracic trachea, followed by vertical incisions in the back of one segment and the front of another. These segments are then joined and sutured to create a wider tracheal airway.
Example 1: A 5-year-old child with congenital tracheal stenosis undergoes a slide tracheoplasty to widen the airway and improve breathing., An adult patient with tracheal stenosis secondary to trauma requires an intrathoracic tracheoplasty to reconstruct the airway and restore normal airflow., A patient with recurrent tracheal stenosis after previous airway surgery undergoes a revision tracheoplasty to address the narrowing.
* Detailed history and physical examination, including respiratory assessment.* Preoperative imaging studies (e.g., CT scan, bronchoscopy) to assess the extent of tracheal stenosis.* Intraoperative findings, including details of the surgical technique and the number of sutures used.* Postoperative imaging studies to evaluate the success of the procedure.* Complete documentation of the patient's course, including any complications.
** This procedure may be performed using different surgical techniques, including the "slide" tracheoplasty, which involves creating a wider airway by sliding segments of the trachea together.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Specialties:Thoracic Surgery, Otolaryngology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center