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How would you code the following procedure? Would it be 31624?

Annie Posted Wed 16th of April, 2014 12:06:07 PM

OPERATION: Diagnostic bronchoscopy with BAL.
Informed consent was obtained.
PROCEDURE IN DETAIL: The patient was placed appropriately in the
Endoscopy Suite. She was given sedation in the form of Fentanyl and
Versed. The oropharyngeal area was appropriately numbed up using Lidocaine
Spray. The flexible fiberoptic bronchoscope was then passed through the
mouth into the airway. The upper airway region, the vocal cords and the
trachea were unremarkable. The main carina was sharp. The airway inspection
was carried through to the second bronchial divisions. The right and left
bronchial segments were inspected. There was no abnormality of the airway
mucosa, no edema or swelling. No endobronchial lesions were noted. BAL was
obtained from the right lower lobe and right middle lobe and sent for
cytology. No complications were noted. The patient was returned to
recovery in a stable condition.

SuperCoder Answered Thu 17th of April, 2014 10:17:45 AM

This is 31624

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