Coding Tip: Endoscopic TransEsophageal Puncture (TEP)

Understanding Endoscopic TransEsophageal Puncture (TEP)

A Guide to Endoscopic TransEsophageal Puncture (TEP)

Learning About Endoscopic TransEsophageal Puncture (TEP)

Defining Endoscopic TransEsophageal Puncture (TEP)

TEP (Endoscopic TransEsophageal Puncture) is a new ICD-10-PCS valid with April 2025 discharges. A TEP with voice prosthesis provides the ability to speak after a total laryngectomy. A one-way valve implant is placed in a small hole that is made between the trachea and esophagus.
When a patient’s tracheostomy stoma is covered, airflow is redirected through the valve upon exhalation to generate controlled vibrations that produces a natural sounding voice.
Found in Table 0B1, Bypass of Respiratory System, the approach value 8 Via Natural or Artificial Opening Endoscopic, was added to the body part value 1 Trachea, for the device value D Intraluminal Device, and the qualifier value 6 Esophagus
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