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Tracheostomy/laryngectomy tube plug/stop, each

HCPCS code

Name of the Procedure:

Tracheostomy/Laryngectomy Tube Plug/Stop
Technical Term: HCPCS Code A7527


A Tracheostomy/Laryngectomy Tube Plug or Stop is a small device placed into the end of a tracheostomy or laryngectomy tube. It temporarily seals the tube, allowing patients to speak or breathe normally through their mouth and nose.


Medical Conditions or Problems:
  • Tracheostomy
  • Laryngectomy
  • Respiratory conditions requiring an artificial airway
Goals/Expected Outcomes:
  • Facilitate normal speech
  • Promote breathing through natural airways
  • Prevent foreign objects from entering the airway


  • Difficulty with speech due to the presence of a tracheostomy or laryngectomy tube
  • Medical situations such as healed airways where the tube is no longer critically needed for breathing
  • Patient's readiness for partial or complete decannulation


  • Consultation with a healthcare provider for eligibility
  • Assessment of airway patency and functionality
  • No specific fasting or medication adjustments unless otherwise advised
  • Possibly undergoing diagnostic tests like pulmonary function tests

Procedure Description

  1. Assessment: Ensure that the tracheostomy or laryngectomy site is clean and free of infection.
  2. Measurement: Choose the correct size of the plug/stop.
  3. Insertion: Gently insert the plug into the external opening of the tracheostomy or laryngectomy tube.
  4. Adjustment: Ensure the plug is securely in place, but not uncomfortable.
  5. Closure: Close and secure the plug/stopcap, making sure it creates an appropriate seal.
  • Tracheostomy/laryngectomy tube plug
  • Sterile gloves
  • Antiseptic wipes
  • Not typically required


The procedure usually takes around 10 to 15 minutes.


This is generally performed in an outpatient clinic, a hospital, or at the patient’s home by a healthcare provider.


  • Physician or trained nurse
  • Respiratory therapist

Risks and Complications

  • Initial discomfort
  • Mild irritation around the stoma site
  • Airway obstruction
  • Complications from improper fit, such as dislodgment
  • Infection at the stoma site


Expected Benefits:
  • Enhanced speech capability
  • Improved quality of life
  • Reduction in the risk of airway infections
Realization Time:
  • Typically immediate


Post-Procedure Care:
  • Monitor the fit of the plug regularly
  • Keep the area around the stoma clean and dry
  • Follow up with a healthcare provider as scheduled
Recovery Time:
  • Immediate return to daily activities
Restrictions & Follow-up:
  • Avoid vigorous activities that could dislodge the plug
  • Regular follow-up appointments to monitor progress and any complications


Other Options:
  • Speaking valves
  • Electrolarynx devices
  • Complete decannulation
Pros and Cons:
  • Speaking Valves: May allow for speech but can be more costly and complex
  • Electrolarynx: Reliable but requires training and may sound robotic
  • Complete Decannulation: Permanently removes the tube but requires readiness of the patient’s airway

Patient Experience

During Procedure:
  • Minimal discomfort during insertion
  • No pain
After Procedure:
  • Possible short-term discomfort or throat irritation
  • Improved speech ability immediately noticeable
Pain Management & Comfort:
  • Over-the-counter pain relievers if discomfort occurs
  • Use of soothing throat lozenges or warm compress if irritation arises

By understanding all aspects of the Tracheostomy/Laryngectomy Tube Plug/Stop, patients and their caregivers can confidently manage this important component of respiratory care.

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