AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2013 Issue 4; Ask the Editor
Transbronchial Needle Aspiration Lymph Node Biopsy
A patient with moderately differentiated adenocarcinoma status post right upper lobectomy presents due to enlarging mediastinal nodes and planned bronchoscopy with fine needle aspiration of the lymph nodes. An endobronchial ultrasound (EBUS) scope was introduced and the one abnormal lymph node was visualized and was suspicious for malignancy. An endobronchial ultrasound-guided transbronchial needle aspiration was performed. What is the appropriate ICD-10-PCS code assignment? Should the “percutaneous endoscopic” approach value be assigned since a bronchoscope was used but the lymph node was not aspirated via a natural opening? ...
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Article Overview
This article addresses a bronchoscopy-based lymph node aspiration biopsy scenario and the related ICD-10-PCS coding question. It is intended for coding professionals who need to understand how the procedure is categorized in the ICD-10-PCS system when endoscopic guidance is used during sampling of thoracic lymph nodes.
Why This Topic Matters
Procedure coding for bronchoscopic and ultrasound-guided lymph node sampling can be confusing when multiple access and approach concepts appear in the operative description. This article helps readers identify the relevant ICD-10-PCS framework for this type of thoracic lymphatic procedure.
What You Will Learn
- How this thoracic lymph node aspiration biopsy scenario is framed for ICD-10-PCS coding
- What coding question the article is addressing about approach selection
- How the article categorizes the procedure within the ICD-10-PCS system
- The general documentation context associated with endobronchial ultrasound-guided sampling
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity specialists
- Revenue cycle professionals
Codes Discussed
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