2025 CPT code 31775
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Respiratory System Surgery Feed
Bronchoplasty; excision stenosis and anastomosis. This procedure involves the surgical repair of a narrowed bronchus (bronchoplasty) by removing the constricted area and reconnecting the healthy ends.
Modifiers may be applicable to 31775 to indicate specific circumstances of the procedure (e.g., increased procedural services, assistant surgeon). Refer to current CPT guidelines for appropriate modifier usage.
Medical necessity for 31775 must be clearly documented. This includes evidence of the bronchial stenosis (e.g., imaging studies, bronchoscopy) and its impact on the patient's respiratory function (e.g., shortness of breath, difficulty breathing).The documentation should demonstrate that less invasive treatments have been considered or tried and were unsuccessful, thus requiring surgical intervention.
The physician is responsible for performing the surgical procedure, including making the incision, dissecting the area, excising the stenosis, creating and anastomosing the mucosal flaps, and closing the incision. The physician must also ensure the recurrent laryngeal nerves are identified and protected.
In simple words: This procedure is used to widen a narrowed section of the bronchus, the airway that leads to the lungs. The surgeon makes an incision in the neck to reach the area, removes the narrowed part, and then stitches healthy tissue together to create a wider opening.
The procedure begins with an incision in the neck to access the trachea and pharynx.The surgeon carefully dissects to expose and protect the recurrent laryngeal nerves. The stenotic (narrowed) segment of the bronchus is then excised.Mucosal flaps are created from the trachea and pharynx and sutured together (anastomosis) to reconstruct the airway. Finally, the muscles and skin are closed.
Example 1: A patient with a benign bronchial stenosis following prolonged intubation requires surgical repair of the narrowed airway., A child born with a congenital bronchial stenosis needs a bronchoplasty to improve breathing., A patient develops a bronchial stenosis as a result of trauma and requires surgical reconstruction.
Documentation should include details of the stenosis (location, length, severity), operative report detailing the procedure (incision, dissection, excision, anastomosis), confirmation of the recurrent laryngeal nerve identification, and post-operative status.
- Specialties:Thoracic Surgery, Cardiothoracic Surgery
- Place of Service:Inpatient Hospital