Prepare for the 2020 ICD-10-CM Updates | Join Webinar & Earn 1 CEUJoin Now >>

Regular Price: $24.95

Ask An Expert Starting at $24.95

Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

Fiberoptic Bronchoscopy with

ant Posted Tue 30th of April, 2019 10:57:13 AM
Good day- Fiberoptic bronchoscopy with (1) Airway evaluation (2) EBUS-guided TBNA of stations 7 (3) Endobronchial biopsies of the Left lower lobe (4) Cytologic brushings of the left Lower lobe (5) Bronchioaveolar lavage of left lower lobe. Thank you .
ant Posted Tue 30th of April, 2019 11:02:59 AM
Needing clarification on the coding . Thank you.
SuperCoder Answered Wed 01st of May, 2019 03:11:17 AM

Hello Ant,

Thank you for your question.

 

As per the above provided documentation, please find the below mentioned CPT® codes for each procedure performed.

(1) Airway evaluation

CPT® code 31622- Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed

 

(2) EBUS-guided TBNA of stations 7

CPT® code 31653- Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; 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

 

(3) Endobronchial biopsies of the Left lower lobe

CPT® code 31625- Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites

 

(4) Cytologic brushings of the left Lower lobe

CPT® code 31623- Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings

 

(5) Bronchioaveolar lavage of left lower lobe.

CPT® code 31624- Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage

 

There are no CCI edit between the above codes; except for CPT® code 31622. CPT® code 31622 should not be reported with the above codes as it is a column 2 code for CPT® codes 31623, 31624, 31625, 31653 and should not be billed together in any circumstances.

 

Note: The phrase "separate procedure" at the end of CPT® code 31622 description indicates you should use this code only when the physician performs no other procedures in that anatomical area.

 

You are advised to relate the above suggested code with your detailed medical documentation.

 

Hope this helps.

Thanks,

Please feel free to write if you have any question.

Related Topics