AMA CPT® Assistant - 2012 Issue 11 (November)

Surgery: Respiratory System (Q&A) (November 2012)

November 2012 page 13 Surgery: Respiratory System Question: A diagnostic tracheoscopy is performed via tracheostomy and does not include tracheobronchoscopy. How is this reported? Answer: If tracheoscopy without full bronchoscopy or laryngoscopy via tracheostomy is performed, the correct code to report is code 31615, Tracheobronchoscopy through established tracheostomy incision, with modifier 52, Reduced Services, appended. Tracheoscopy reporting with the laryngoscopy family is based on an examination of the larynx. The reduced services modifier reflects that a full bronchoscopy was not performed. Question: The patient has tracheolaryngeal stenosis. The provider performs microlaryngoscopy with lysis of the stenosis using laser and...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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