CPT® Code 31612

A percutaneous tracheal puncture, as described by CPT® Code 31612, is a medical procedure that involves creating a small opening in the trachea to facilitate transtracheal aspiration and/or injection. This procedure is typically indicated for patients who require access to the trachea for therapeutic purposes, such as the aspiration of fluid or the administration of medications directly into the trachea. The procedure begins with a small stab incision made over the trachea, specifically at the level of the cricoid cartilage, which is located in the neck. Following the incision, a needle or catheter is carefully advanced through the surrounding thyroid tissue and into the trachea itself. Once access to the trachea is achieved, the physician can aspirate any fluid present or inject medications or other pharmacological substances as needed. After the procedure is completed, the needle or catheter is withdrawn, and the stab incision is typically closed using sutures or an adhesive patch to promote healing and prevent complications. This procedure is essential in various clinical scenarios where direct access to the airway is necessary for effective treatment.