CPT® Code 31820

A tracheostomy or tracheal fistula is a surgical opening created in the trachea, typically to facilitate breathing in patients with airway obstruction or other respiratory issues. In some cases, these openings may not close spontaneously after the removal of the tracheostomy tube, necessitating surgical intervention. The procedure described by CPT® Code 31820 involves the surgical closure of a tracheostomy or tracheal fistula without the use of plastic repair techniques. This means that the closure is performed directly, focusing on suturing the edges of the wound together in layers after excising the epithelialized skin tract. Unlike CPT® Code 31825, which employs advanced plastic surgery techniques to enhance cosmetic outcomes and minimize scarring, the approach in 31820 is more straightforward and does not involve additional methods such as grafting or undermining of the skin. The goal of this procedure is to effectively close the opening in the trachea, restoring the integrity of the airway and promoting healing without the complexities associated with plastic repair methods.