AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2024 Issue 3; Ask the Editor

Tracheostomy Revision with Bjork Flap

A patient experiences respiratory difficulty and subcutaneous emphysema following a tracheostomy and undergoes tracheostomy revision. At surgery, a tracheoscopy reveals a low-lying larynx and deep subcutaneous fatty tissues, which contributed to a deep tracheotomy tract. To decrease the depth of the tract, a Bjork flap was created by making lateral cut-downs at the tracheal incision and tightly securing the inferior flap to subcutaneous tissue using sutures. A new-cuffed tracheostomy tube was placed without difficulty. What is the appropriate procedure code for the revision of the tracheostomy using a Bjork flap? ...

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