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Pulmonology Coding Alert

Reader Question:
Bill These Three Bronchoscopy Codes Together

Question: Can we bill together 31628, 31629 and 31625 for procedures on the same lung region?

Minnesota Subscriber

Answer: As per the CCI edits, you may report all of the following CPT® codes together:

  • 31628 — Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe
  • 31629 — … with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i)
  • 31625 —… with bronchial or endobronchial biopsy(s), single or multiple sites.

However, you will need to append modifier 59 (Distinct procedural service) to 31625 to show the service is distinct from 31628 and 31629. You will also need to crosscheck whether your documentation is appropriate for usage of this modifier.