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Tracheostomy tube collar/holder, each

HCPCS code

Tracheostomy Tube Collar/Holder (A7526)

Name of the Procedure:

  • Common Name(s): Tracheostomy Tube Collar, Tracheostomy Tube Holder
  • Technical/Medical Term: Tracheostomy Tube Stabilization Device


A tracheostomy tube collar/holder is a device used to secure a tracheostomy tube in place. It is designed to prevent the tube from moving or dislodging, ensuring it remains in the correct position to facilitate breathing in patients with a tracheostomy.


  • Medical Conditions: Used for patients who have undergone a tracheostomy, which is a surgical procedure to create an opening in the neck and windpipe (trachea) to aid in breathing.
  • Goals: Secure the tracheostomy tube, prevent accidental dislodgement, reduce the risk of infection, and improve patient comfort and mobility.


  • Symptoms/Conditions:
    • Patients with a tracheostomy and a need for continuous airway support.
    • Patients at risk of tube dislodgement due to movement.
  • Patient Criteria:
    • Patients of any age with a tracheostomy.
    • Those requiring long-term airway support.


  • Pre-procedure Instructions:
    • No specific patient preparation required for the application of a tracheostomy tube collar/holder.
  • Diagnostic Tests:
    • None specific to the collar/holder. Appropriate tracheostomy tube assessment is essential.

Procedure Description

  1. Clean and sterilize the area around the tracheostomy site.
  2. Position the tracheostomy tube securely within the tracheostomy opening.
  3. Wrap the tracheostomy tube collar/holder around the patient's neck.
  4. Adjust the collar/holder to ensure it fits snugly without constricting blood flow or causing discomfort.
  5. Secure the holder by fastening its intended locking mechanism.
    • Tools and Equipment:
    • Sterile gloves, tracheostomy tube, tracheostomy tube collar/holder.
    • Anesthesia/Sedation:
    • Not required for securing the collar/holder.


  • Procedure Time: Typically takes 5-10 minutes to apply.


  • Location: Hospital, outpatient clinic, home care setting.


  • Healthcare Professionals: Nurses, respiratory therapists, or trained caregivers.

Risks and Complications

  • Common Risks:
    • Minor skin irritation or pressure sores around the neck.
  • Rare Risks:
    • Allergic reaction to materials.
    • Tube blockage if not properly secured.


  • Expected Benefits:
    • Keeps the tracheostomy tube in place, preventing accidental dislodgement.
    • Enhances patient mobility and comfort.
  • Realization Timeframe: Immediate upon correct application.


  • Post-procedure Care:
    • Regular inspection and cleaning of the tracheostomy site and the collar/holder.
    • Monitoring for signs of skin irritation or infection.
  • Expected Recovery Time: No specific recovery time; ongoing care and monitoring required.


  • Other Options:
    • Tape or sutures (less commonly used due to higher discomfort and risk of skin breakdown).
  • Pros and Cons:
    • Tape or sutures can be less comfortable and have a higher risk of skin irritation and infection compared to the tracheostomy tube collar/holder.

Patient Experience

  • During Procedure:
    • Minimal discomfort during the application of the collar/holder.
  • After Procedure:
    • Improved comfort and stability of the tracheostomy tube.
    • Regular assessment to manage any minor skin irritation.
    • Pain management and comfort measures such as cushioning or adjusting fit if discomfort arises.

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