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**Location:** Inpatient Hospital
**OPERATIVE REPORT**

**INDICATION:** Cardiogenic shock and the need to initiate mechanical ventilation.

**PROCEDURE PERFORMED:** Intubation.

**ANESTHESIA:** Versed and fentanyl.

**PROCEDURE:**
After the procedure was explained and consent was obtained from the patient's family, the patient was prepped for an endotracheal intubation. The patient was premedicated with Versed and fentanyl. After adequate anesthesia and analgesia were achieved, the patient's vocal cords were directly visualized with the aid of a laryngoscope using a Miller 3 blade. A size 8.5 endotracheal tube was then inserted and passed through the vocal cords atraumatically and without any difficulty. The CO2 monitor confirmed the correct placement of the tube. The cuff was then inflated and the tube secured around 22 cm at the lips.

The patient tolerated the procedure well. There were no acute complications. A chest x-ray had been ordered to confirm the correct placement of the endotracheal tube.

**CPT Code:** ____________________

Answer :

The correct CPT code for the intubation procedure described is 31500.

The CPT (Current Procedural Terminology) code for the intubation procedure, which involves the insertion of an endotracheal tube, is 31500. This code describes the service of inserting an endotracheal tube through the mouth or nose into the trachea under visualization, which is exactly what was performed in the procedure detailed in the operative report.

The report specifies that the patient was intubated using a Miller 3 blade to visualize the vocal cords and a size 8.5 endotracheal tube was inserted. The CO2 monitor confirmed the correct placement of the tube, and the cuff was inflated with the tube secured at 22 cm at the lips. This is a standard intubation procedure, and the corresponding CPT code for this service is 31500, which is intended to be used for the initial intubation attempt.

It is important to note that if the intubation had been an emergency procedure, a modifier might be added to the CPT code to indicate the urgency of the service provided. However, in the given scenario, the report does not specify that the intubation was an emergency, so the base code 31500 is appropriate.

In summary, the CPT code 31500 is used to report the service of endotracheal intubation, which accurately describes the procedure performed on the patient in cardiogenic shock who required mechanical ventilation.

31500 is CPT code.

Define a Cardiogenic shock.

Cardiogenic shock, also known as cardiac shock, occurs when your heart is unable to adequately supply the brain and other critical organs with blood and oxygen. A life-threatening catastrophe has occurred. It is crucial to be aware of the warning symptoms because it is treatable if discovered quickly.

Doctors and other healthcare workers can code medical services and procedures using the Current Procedural Terminology (CPT) codes to simplify reporting, improve accuracy, and boost efficiency. When an elective intubation is carried out, CPT code 31500, which outlines an emergency endotracheal intubation procedure, shall not be reported.

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