31624CPT guidance indicates it is acceptable to report CPT code 31624, Bronchoscopy with bronchial alveolar lavage, with a bilateral modifier when this procedure is performed bilaterally.
Example: If a patient has bronchoscopy with BAL for biopsy from the right middle lobe the appropriate PCS code is 0B9D8ZX—Drainage of right middle lung lobe, via natural or artificial opening endoscopic, diagnostic, is appropriate.
Answer: Initial therapeutic bronchoscopy is the first procedure during any hospitalization and is reported with CPT code 31645. A subsequent therapeutic bronchoscopy, later the same day or another day, but during the same hospitalization, is defined as subsequent and is reported with CPT code 31646.
CPT 31628 is used for bronchoscopy, rigid or flexible, including fluoroscopic guidance, with transbronchial lung biopsy(s), single lobe.
DrainageBronchoalveolar Lavage (BAL): Bronchoalveolar lavage is also called a liquid biopsy and is a diagnostic procedure performed via a bronchoscope and it involves washing out tissue of the lung and airways to obtain a small sampling of tissue. BAL is coded to root operation “Drainage” because it involves removing fluid.
31625 – Bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with bronchial or endobronchial biopsy(s); single or multiple sites.
CPT® Code 94060 - Pulmonary Diagnostic Testing and Therapies - Codify by AAPC.
CPT® Code 32506 - Removal Procedures on the Lungs and Pleura - Codify by AAPC.
Abdominal lymphadenectomyCPT code 38747 (Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and venal caval nodes...)
Bronchoscopy is a diagnostic procedure used to obtain a small amount of lung tissue and fluid samples (a lung biopsy).
Notably, when CPT code 31629 bronchoscopy with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus is appropriate to use with code 31652 with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/ ...
Lung Biopsy The code 32405, “Biopsy, lung or mediastinum, percutaneous needle,” has been replaced by new code 32408, “Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed.” Accordingly, imaging guidance may no longer be billed separately.
(bron-KOS-koh-pee) A procedure that uses a bronchoscope to examine the inside of the trachea, bronchi (air passages that lead to the lungs), and lungs. A bronchoscope is a thin, tube-like instrument with a light and a lens for viewing.
Bronchoalveolar lavage (BAL) is a procedure that is sometimes done during a bronchoscopy. It is also called bronchoalveolar washing. BAL is used to collect a sample from the lungs for testing. During the procedure, a saline solution is put through the bronchoscope to wash the airways and capture a fluid sample.
CPT Code(s): 88106.
Fiberoptic Bronchoscopy. Fiberoptic bronchoscopy (bron-kos'ko-pi) is a visual exam of the breathing passages of the lungs (called “airways”). This test is done when it is important for your doctor to see inside the airways of your lungs, or to get samples of mucus or tissue from the lungs.
There has been some confusion about appropriate coding using the new endobronchial ultrasound codes with some of the other bronchoscopy codes. Notably, when CPT code 31629 bronchoscopy with transbronchial needle aspiration biopsy (s), trachea, main stem and/or lobar bronchus is appropriate to use with code 31652 with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration [s]/biopsy [ies]), one or two mediastinal and/ or hilar lymph node stations or structures and 31654 code with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration [s]/biopsy [ies]), 3 or more mediastinal and/ or hilar lymph node stations or structures. Both 31652 and 31653 include needle sampling as a part of the work and therefore, if the bronchoscopy involves only the sampling of the hilar/mediastinal node, it would be inappropriate to include 31629.
If a bronchoscopy is performed with needle aspiration biopsy (ies) of a peripheral lesion and subsequently an EBUS scope is used to sample mediastinal or hilar lymph node stations, one could utilize 31629 as well as either 31652 or 31653.
If EBUS is used to localize the peripheral node, the 31654 can also be used. As an illustrative example, a 75 year old male is found to have a 2 cm peripheral nodule in the anterior segment of the right upper lobe with enlarged right hilar and subcarinal lymph nodes on CT scan.
Both 31652 and 31653 include needle sampling as a part of the work and therefore, if the bronchoscopy involves only the sampling of the hilar/mediastinal node, it would be inappropriate to include 31629. However, mediastinal sampling is often done in conjunction with evaluation of a more peripheral lesion.
converts directly to: 2019 ICD-10-CM Z13.820 Encounter for screening for osteoporosis.
Prenatal flow sheet documented in medical record by first prenatalvisit (documentation includes at minimum blood pressure, weight, urine protein, uterine size, fetal heart tones, and estimated date of delivery). Report also: date of visit and, in a separate field, the date of the last menstrual period [LMP] (Note: If reporting 0501F Prenatal flow sheet, it is not necessary to report 0500F Initialprenatal care visit) (Prenatal)
Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem (s) and the patient's and/or family's needs. Usually, the problem (s) requiring admission are of moderate severity. Typically, 35 minutes are spent at the bedside and on the patient's facility floor or unit.
Inpatient consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medicaldecision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem (s) and the patient's and/or family's needs. Usually, the presenting problem (s) are self limited or minor. Typically, 20 minutes are spent at the bedside and on the patient's hospital floor or unit.
(Use 17312 in conjunction with 17311) - Mohs micrographic technique, including removal of all grosstumor, surgical excision of tissue specimens, mapping, colorcoding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain (s) (eg, hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure)
A bronchoscopy is a procedure to aid in the evaluation and treatment of lung patients. Most often, the physician uses a fiberoptic scope and performs the procedure in the endoscopy suite of the hospital. Other locations include an office setting or perhaps at the patient’s hospital bedside. Completed for a variety of reasons, only 21 CPT® codes ...
The 2007 CPT® codebook lists 31620 (EBUS) as “Endobronchial ultrasound during bronchoscopic diagnostic or therapeutic intervention (s).” This procedure, which involves a special bronchoscope that has an ultrasound at its tip, is the newest technology for biopsying mediastinal nodes. EBUS allows the physician better visualization of the structures and provides a different level of guidance for bronchoscopic procedures. This equipment allows the physician to perform a minimally invasive procedure in lieu of a mediasteinoscopy (an open surgical procedure) that has more risks involved for the patient.#N#Code 31620 is an add-on code that is listed in addition to the primary procedure code. When looking at the CPT® codebook for this endoscopy section of the respiratory system, there are a plethora of notations that should aid you in your code selection. As is always the case, documentation is the first and most important part of your journey. Correct billing of bronchoscopies should be straightforward, and with the above questions answered, should be easier than ever.#N#Jill Young, CPC, is president of Young Medical Consulting LLC in East Lansing, MI. Young conducts educational seminars nationally as a member of the speakers’ panel for the AAPC, and locally for the Michigan State Medical Society.
EBUS allows the physician better visualization of the structures and provides a different level of guidance for bronchoscopic procedures. This equipment allows the physician to perform a minimally invasive procedure in lieu of a mediasteinoscopy (an open surgical procedure) that has more risks involved for the patient.
Code 31620 is an add-on code that is listed in addition to the primary procedure code. When looking at the CPT® codebook for this endoscopy section of the respiratory system, there are a plethora of notations that should aid you in your code selection.
Notations after some codes such as 31628, 31629 and 31632 (transbronchial biopsies) state that the code should be reported only once , regardless of how many biopsies are taken on the lobe or upper airway location.
A diagnostic bronchoscopy is inherently bilateral. Most patients have two lungs and the pulmonologist would evaluate both during this procedure. This answers the first of the frequently asked questions on how to bill when the physician examines both bronchi.