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Thursday, November 5, 2009

Jurisdiction B News: Tracheostomy Care Kit – Coding Guidelines

 
 
 

Tracheostomy Care Kit – Coding Guidelines
 
Codes A4625 (Tracheostomy care kit for new tracheostomy) and A4629 (Tracheostomy care kit for established tracheostomy) describe supplies that are used to maintain a tracheostomy tube including the tracheostomy site.  The items listed below are essential items that must be included in a tracheostomy care kit but may not be all-inclusive of items that meet the patient s needs. Quantities of items in excess of those listed and/or additional items (e.g., other types of surgical dressings) are included in the kit codes and may not be billed separately.  Items included in these codes are not limited to pre-packaged kits bundled by manufacturers or distributors.

A tracheostomy care kit for a new tracheostomy (A4625) contains, at a minimum, the following:
ItemNumber included
plastic tray1
basin1
sterile gloves1 pair
tube brush1
pipe cleaners3
pre-cut tracheostomy dressing1
gauze1 roll
4x4 sponges4
cotton tip applicators2
twill tape30 inches

A tracheostomy care kit for an established tracheostomy (A4629) contains, at a minimum the following:
ItemNumber included
tube brush1
pipe cleaners2
cotton tip applicators2
twill tape30 inches
4x4 sponges2
 

 

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