AMA CPT® Assistant - 2016 Issue 4 (April)
Endobronchial Ultrasound Procedures (31652, 31653, 31654) (April 2016)
April 2016 pages 5-6 Endobronchial Ultrasound Procedures (31652, 31653, 31654) Endobronchial ultrasound (EBUS) technology has evolved into a unique diagnostic pathway to aid in the diagnosis of potential neoplastic and inflammatory lung diseases. EBUS is designed to enhance visualization (eg, differentiating vascular from nonvascular structures); provide guidance (eg, transbronchial needle guidance); assist in assessment (eg, tumor volume); and address the feasibility of other interventions (eg, airway recanalization). For the 2016 CPT® code set, code 31620, Endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) (List separately in addition to code for primary procedure[s]) was deleted and two new codes...
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Article Overview
This CPT Assistant article reviews an April 2016 update concerning endobronchial ultrasound (EBUS) procedures used in bronchoscopic diagnostic and therapeutic settings. It is aimed at coders, billers, and clinical documentation staff who work with bronchoscopy, lung lesion evaluation, and lymph node sampling. The article covers the code set changes, general reporting guidance, and illustrative clinical examples that show the kinds of encounters discussed in the update.
Why This Topic Matters
EBUS coding changes can affect how bronchoscopic procedures are documented and reported. Understanding the scope of the update helps support accurate code selection, compliant reporting, and consistent interpretation of the 2016 CPT revisions.
Article Sections
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April 2016 pages 5-6
Introductory article context and overview of the endobronchial ultrasound topic for the April 2016 CPT Assistant issue.
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New Codes
Summary of the CPT code set changes associated with endobronchial ultrasound procedures and the general circumstances addressed by the update.
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Coding Tip
A brief coding note about the general context in which the add-on service is reported.
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Clinical Example (31652)
An illustrative scenario involving bronchoscopic ultrasound-guided sampling in the lung and lymph node setting.
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Description of Procedure (31652)
Narrative procedural workflow associated with the first clinical example, describing the broad bronchoscopic and ultrasound-based steps performed.
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Clinical Example (31653)
An illustrative scenario involving a more extensive bronchoscopic ultrasound-guided sampling session.
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Description of Procedure (31653)
Narrative procedural workflow associated with the second clinical example, describing the broad bronchoscopic and ultrasound-based steps performed.
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Clinical Example (31654)
An illustrative scenario involving a peripheral lung lesion evaluated with transendoscopic ultrasound guidance.
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Description of Procedure (31654)
Narrative procedural workflow associated with the third clinical example, describing the broad bronchoscopic and ultrasound-based steps performed.
What You Will Learn
- How the April 2016 article frames the CPT update for endobronchial ultrasound procedures
- What kinds of bronchoscopic and ultrasound-based scenarios the article discusses
- How the article presents reporting context for new and deleted CPT services
- What types of clinical examples are used to illustrate the procedures
- How the article organizes guidance around bronchoscopic diagnostic and therapeutic interventions
Who Should Read This
- Medical coders
- Coding auditors
- Biller/revenue cycle staff
- Clinical documentation specialists
- Pulmonology practices
- Bronchoscopy service staff
Codes Discussed
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