2025 CPT code 31766

Carinal reconstruction following tumor removal.

Consult the CPT manual for the most current coding guidelines.

Modifiers may apply depending on the specific circumstances of the procedure. Consult the CPT manual for guidance.

Medical necessity is established when a tumor affecting the carina compromises airway patency, threatening the patient's life or causing significant respiratory distress.The reconstruction is necessary to restore normal airway function and prevent life-threatening complications.

Thoracic surgeon

IMPORTANT No alternate codes explicitly listed.However, codes 31760, 31770, 31775, 31780, 31781, and 31786 might be considered related depending on the specific circumstances of the procedure.

In simple words: This surgery rebuilds the part of the airway (carina) where the windpipe branches into the lungs after removing a tumor. The surgeon makes a cut in the windpipe, takes out the tumor, and then reconnects the airways.

Carinal reconstruction is a surgical procedure involving the reconstruction of the carina (the ridge of cartilage separating the two main bronchi) after the removal of a tumor.The procedure typically involves incising the trachea, resecting the tumor, and then performing an anastomosis to reconnect the main bronchus or bronchi to the lower trachea.Surgical approaches vary depending on the extent of resection needed.

Example 1: A 60-year-old male presents with a centrally located lung tumor that invades the carina.A carinal resection and reconstruction are performed to remove the tumor and restore airway patency., A 45-year-old female with a history of smoking is diagnosed with a malignant tumor involving the carina and distal trachea.The surgeon performs a carinal resection with reconstruction using a tracheal flap., A pediatric patient with an inflammatory myofibroblastic tumor involving the carina requires a carinal resection and reconstruction.The surgeon employs specialized techniques due to the patient's age and the delicate nature of the airway.

* Preoperative imaging (CT scan, bronchoscopy) clearly demonstrating the tumor's location and extent.* Operative report detailing the surgical approach, resection technique, and reconstruction method.* Pathology report confirming the diagnosis and the extent of resection.* Postoperative imaging to assess airway patency and healing.

** This procedure is considered complex and requires specialized surgical expertise.The choice of surgical approach and reconstruction technique depends on several factors, including the size and location of the tumor, the patient's overall health, and the surgeon's preference.

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