AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 3; Ask the Editor
Bronchoscopy with Suctioning and Washings for Removal of Mucus Plug
A bronchoscopy was performed due to abnormal radiologic findings in the lung field. The right middle lobe bronchus was occluded by a large mucus plug. Mucomyst was administered locally and the mucus plug was washed and suctioned. Bronchial washings were submitted for microbiology. What is the correct code assignment for washing/lavage with suction of mucus plug? ...
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Article Overview
This premium article discusses an ICD-10-PCS coding question involving bronchoscopy performed for abnormal lung findings, with emphasis on bronchial washing/lavage, suctioning, and removal of a mucus plug. It is intended for coding professionals, CDI staff, and auditors who need to understand the procedure coding approach for endoscopic airway interventions and related operative documentation. The article provides a focused coding rationale and clarifies how the reported procedure is categorized within ICD-10-PCS.
Why This Topic Matters
Accurate procedure coding for bronchoscopy cases affects inpatient coding quality, data integrity, and compliant reporting of airway procedures. Articles like this help readers align operative documentation with ICD-10-PCS structure when lavage, washings, and suctioning occur in the same encounter.
What You Will Learn
- How bronchoscopic airway procedures are discussed in an ICD-10-PCS coding context.
- How the article frames lavage, suctioning, and mucus plug removal as a procedure-coding issue.
- How operative documentation and specimen washings are presented for coding review.
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Who Should Read This
- Medical coders
- Inpatient coders
- Coding auditors
- Clinical documentation integrity specialists
- Health information management professionals
Codes Discussed
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