Full Answer
Most clients do not code the EBUS in ICD-10-PCS. For CPT this procedure is coded: 31628, Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed, diagnostic, with cell washing, when performed; with transbronchial lung biopsy(s), single lobe. 14
Brushings of the gastrointestinal tract are also included. Most other cytopathology specimens have different codes, which will be detailed below. Most fine needle aspiration biopsies are coded 88172 and 88173. Fluids requiring centrifugation fall under 88108. Cervical and Vaginal specimens ("Pap Smears") are also coded separately.
R89.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Abnormal cytological findings in specimens from oth org/tiss. The 2018/2019 edition of ICD-10-CM R89.6 became effective on October 1, 2018.
CPT Code(s): 88112.
Answer: 31628, 31652. NCCI edits are precluding the reporting of 31625 with 31628, so only code 31628 can be reported with 31652.
CPT code 31645 with therapeutic aspiration of tracheobronchial tree, initial describes a therapeutic bronchoscopy for removal of viscous, copious or tenacious secretions from the airways.
31628, Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed, diagnostic, with cell washing, when performed; with transbronchial lung biopsy(s), single lobe.
A. CPT 31628 (Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe) and CPT 31632 (with transbronchial lung biopsy(s) each additional lobe) would be reported.
31625 – Bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with bronchial or endobronchial biopsy(s); single or multiple sites.
From 2012, CPT code for chest drainage with a catheter (32551) was changed to an open procedure designation. . Code 32556 or 32557 are used for percutaneous placement of an indwelling pleural drainage tube.
Group 1CodeDescription94060Evaluation of wheezing94070Evaluation of wheezing94150Vital capacity test94200Lung function test (mbc/mvv)19 more rows
CPT code 94010, “Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation,” may be separately reported when performed and documented with a six-minute walk test.
CPT® Code 31622 in section: Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed.
An endobronchial ultrasound (EBUS) uses soundwaves to get a picture of your lungs and nearby lymph nodes from inside the windpipe. You usually have a biopsy to find out for certain if you have lung cancer.
You'll notice as well that 31622 is noted as a "separate procedure" which means it can usually only be billed when billed alone, otherwise it becomes part of the "bigger procedure" , in your case the 31625.
Cite this page: Jakowski JD, Meanor S. Cytology billing. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/managementlabcytologybilling.html. Accessed February 24th, 2022.
Cite this page: Jakowski JD, Meanor S. Cytology billing. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/managementlabcytologybilling.html. Accessed February 24th, 2022.
CPT code 88155 is reimbursable for Pap smears performed for a definitive hormonal evaluation, and may be billed in conjunction with codes 88141 thru 88143, 88147, 88148, 88150, 88152 thru 88153 or 88164 thru 88167, 88174 and 88175. Medical justification must be documented in the Remarks field (Box 80)/Additional Claim Information field (Box 19) of the claim or on an attachment.
Providers may use modifier TC to bill cervical or vaginal Pap smear results. When a smear is billed with modifier 26, it is reimbursable only to a hospital pathologist whose service is not covered by the hospital.