Ask Dr. Z

I'm sort of on the fence on how to code these. In the ICU the neck was prepped and draped in the usual fashion. The patient was given sedatives and paralytics. Bronchcoscopy was performed by Dr. X and dictated in a separate note. "The neck was anesthesised with lidocaine solution. Tranverse incision was made at the level of the cricoid, and under direct visualization a large bore needle was advanced into the trachea at the second to third tracheal ring. A wire was advanced. The tract was dilated to 38 French, and an 8.0 cuffed tracheostomy was advanced under direct visualization. The cuff was inflated. The patient was ventilated. The bronchoscopy was introduced through the tracheostomy. Bloody secretions were evaluated." I am interpreting this to 31730... is this appropriate? The pulmonologist coded to the brochoscopy... or is it going to be an unlisted type category?