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Original Question

PATIENT: Duane Monsonbratten PHYSICIAN: Gregory Dawson, MD ATTENDING PHYSICIAN: Gregory Dawson, MD PREOPERATIVE DIAGNOSIS: Acute respiratory failure POSTOPERATIVE DIAGNOSIS: Acute respiratory failure PROCEDURE PERFORMED: Tracheostomy ANESTHESIA: General INDICATIONS FOR SURGERY: The patient is a 62-year-old Caucasian male who has pneumonia. The patient has been on a ventilator for over 2 weeks and appears to require long-term ventilator. The patient is undergoing tracheostomy for this purpose. DESCRIPTION OF PROCEDURE: The patient was prepped and draped in the usual manner. A vertical incision was made along the anterior border of the neck. The patient has a very short neck; therefore, it made the operation much more difficult. Dissection was carried down to the trachea using Bovie cautery. The patient had multiple small vessels in the operative area that had to be either bovied or ligated with interrupted 3-0 silk sutures or stick tied with 3-0 silk sutures. After completion of the dissection down to the trachea, the first ring was identified; the second and third rings were also identified. 0 silk stay sutures were placed on either side of the trachea through the second and third rings. An incision was then made in the second and third rings, also creating a low pocket so that a #8 Shiley trach tube could be placed. what cpt code?

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