AHA Coding Clinic® for ICD-9 - 2009 Issue 4; Volume 3 New/Revised Codes
Bronchial Valve Insertion
Effective October 1, 2009, code 33.71, Endoscopic insertion or replacement of bronchial valve(s), has been revised to report procedures performed on a single lobe. In addition, a new code has been created to report the procedure when performed on multiple lobes during the same procedural episode. This revision will allow a more accurate differentiation between the resources (e.g., length of anesthesia, number of valves), time and patient populations undergoing this procedure. Patients requiring treatment of multiple lobes often have different indications. Endobronchial valve insertion is currently being investigated for the treatment of severe emphysema (typically involving multiple...
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Article Overview
This article covers a coding update for bronchial valve insertion procedures effective October 1, 2009. It explains the shift in how these procedures are distinguished by lobe involvement and notes the broader clinical context and resource considerations behind the change. The content is relevant to coders, billing staff, and clinicians working with bronchoscopic valve procedures and ICD procedure coding changes.
Why This Topic Matters
Accurate reporting of bronchial valve insertion procedures depends on understanding the revised code structure and how cases are categorized by the number of lobes involved. This matters for documentation, procedure classification, and alignment with the updated code set.
What You Will Learn
- The purpose of the bronchial valve insertion coding revision
- How the procedure is categorized by single-lobe versus multi-lobe involvement
- The effective date and general context for the change
- The relationship between the revised code titles and exclusion language
Who Should Read This
- Medical coders
- Billing specialists
- Clinical documentation staff
- Pulmonology practices
- Hospital outpatient coding teams
Codes Discussed
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