Pediatric Laryngotracheal Reconstruction Scrubber
Pediatric airway reconstruction demands exceptional precision from surgical teams treating severe subglottic and tracheal stenosis. Commercial and Medicaid payers routinely deny autologous costal cartilage rib harvest (+20902) as bundled, downcode complex cricotracheal resection (31584) to basic tracheoplasty, and reject planned postoperative surveillance bronchoscopies within the 90-day global period. Protect your aerodigestive surgical revenue with automated clinical audit rules.
Pediatric Laryngotracheal Reconstruction Scrubber
Audit pediatric laryngotracheoplasty (CPT 31587, 31590) and cricotracheal resection (31584), defend autologous costal cartilage rib harvest (+20902-59) against unbundling denials, prevent downcoding to simple tracheoplasty, and protect staged postoperative bronchoscopy (Modifier -58).
Multi-component reconstructive valuation
Estimated allowable based on CMS PFS & commercial index
Zero identified denial exposure
Surgical Procedure & Staging
Autologous Costal Cartilage Harvest (20902)
Staged Surveillance Bronchoscopy & Stent Removal
Concomitant Airway Reconstructions
Automated Coding & Statutory Compliance Audits
CMS-1500 / 837P Professional Claim Itemization
3 Line Items| CPT / HCPCS | Mod | Description | wRVU | Est. Allowable | Status |
|---|---|---|---|---|---|
| 31587 | None | Laryngoplasty, open; for laryngeal stenosis with graft, single-stage without tracheostomy Clean primary LTR: Anterior/posterior cricoid cartilage division, costal graft fixation, endotracheal stenting. | 48.6 | $4250.00 | CLEAN |
| 20902 | 59 | Bone or cartilage graft, any area, minor or small (e.g., costal cartilage rib graft harvest) Clean harvest: Separate right inframammary thoracotomy incision documented; Modifier 59 / XS appended. | 9.4 | $980.00 | CLEAN |
| 31622 | 58 | Bronchoscopy, rigid or flexible; diagnostic, with cell washing (Staged Post-Op Airway Assessment) Clean staged procedure: Post-op stent removal / airway caliber evaluation in OR with Modifier -58. | 6.2 | $680.00 | CLEAN |
ISA*00* *00* *ZZ*SUBMITTER *ZZ*PAYER *260908*1200*^*00501*000000001*0*P*:~ GS*HC*SUBMITTER*PAYER*20260908*1200*1*X*005010X222A1~ ST*837*0001*005010X222A1~ BHT*0019*00*REF20260908*20260908*1200*CH~ NM1*85*2*PEDIATRIC AIRWAY SURGEONS*****XX*1999999993~ NM1*IL*1*MILLER*TIMOTHY****MI*AIR9920145~ CLM*AIRWAY-20260908*5910.00***11:B:1*Y*A*Y*Y~ LX*1~ SV1*HC:31587:N*4250.00*UN*1***1~ DTP*472*D8*20260908~ LX*2~ SV1*HC:20902:59*980.00*UN*1***1~ DTP*472*D8*20260908~ LX*3~ SV1*HC:31622:58*680.00*UN*1***1~ DTP*472*D8*20260908~ SE*16*0001~ GE*1*1~ IEA*1*000000001~
Turn these Pediatric Otolaryngology & Complex Airway Surgical RCM insights into recovered cash
Frustrated by commercial payer unbundling denials on autologous rib graft harvests (+20902-59), cricotracheal resection downcoding clawbacks, or global period bronchoscopy rejections? Aethera's certified pediatric surgical coding team defends every dollar. Let our senior AAPC-certified billing team audit 50 of your active claims or past denials — completely free, with guaranteed under-48-hour findings.
Test our scrub rules and appeal workflow on 50 real claims. Zero commitment, no credit card required.
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