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Tracheostoma valve, including diaphragm, each

HCPCS code

Name of the Procedure:

  • Common Name: Tracheostoma Valve Replacement
  • Technical Term: Tracheostoma Valve with Diaphragm Replacement (HCPCS Code A7501)


A tracheostoma valve with a diaphragm is a medical device used to assist people who have undergone a tracheostomy—a surgical procedure that creates an opening in the neck to access the trachea. This device allows patients to speak and breathe more easily by regulating airflow.


  • Conditions Addressed: Used primarily in patients with laryngectomy, chronic respiratory failure, or other conditions necessitating tracheostomy.
  • Goals: To restore the patient's ability to speak, improve breathing, and enhance quality of life by facilitating a more natural airflow.


  • Symptoms: Difficulty speaking and breathing post-tracheostomy.
  • Conditions: Presence of a tracheostomy or laryngectomy stoma.
  • Patient Criteria: Patients with stable tracheostomy stomas who have undergone a thorough evaluation by an ENT specialist.


  • Pre-procedure Instructions: No specific fasting or medication adjustments required. Patients should follow regular tracheostomy care routines.
  • Assessments: A clinical evaluation by an ENT specialist to determine suitability.

Procedure Description

  1. Preparation: The stoma site is cleaned and cleared of any obstructions.
  2. Valve Replacement: The existing valve or placeholder is carefully removed.
  3. Insertion: The new valve with the diaphragm is inserted into the stoma.
  4. Adjustment: The valve is properly fitted and adjusted to ensure optimal functionality.
    • Tools Used: Sterile tracheostoma valve with diaphragm, cleaning instruments.
    • Anesthesia: Typically, no anesthesia or sedation is required.


  • Typical Time: Approximately 10-20 minutes.


  • Location: Outpatient clinic or a specialized ENT office.


  • Healthcare Professionals: ENT specialists, respiratory therapists, and trained nurses.

Risks and Complications

  • Common Risks: Minor discomfort, irritation at the stoma site.
  • Rare Risks: Infection, displacement of the valve, difficulty breathing.
  • Management: Proper fitting, regular monitoring, and stoma care can mitigate these risks.


  • Expected Benefits: Improved speech and breathing, enhanced quality of life.
  • Realization Time: Benefits are typically immediate post-procedure.


  • Post-procedure Care: Daily cleaning of the stoma site, regular follow-up visits with the specialist.
  • Recovery Time: No downtime expected, routine activities can be resumed immediately.
  • Restrictions: Adherence to stoma care guidelines to prevent complications.


  • Other Options:
    • Permanent tracheostomy without a valve.
    • Electrolarynx for vocal assistance.
  • Pros and Cons: Valves offer a more natural speech and breath control compared to alternatives like the electrolarynx, which may sound more mechanical.

Patient Experience

  • During Procedure: Patients may feel slight pressure or discomfort during the fitting.
  • Post-procedure: Minor adjustments may be needed for comfort. Pain is typically minimal and manageable with routine care measures.

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