AMA CPT® Assistant - 2021 Issue 4 (April)

Reporting of EBUS and Non-EBUS Bronchoscopic Biopsy Codes (April 2021)

April 2021 pages 7-9 Reporting of EBUS and Non-EBUS Bronchoscopic Biopsy Codes Since the addition of endobronchial ultrasound (EBUS)-guided procedure codes (31652-31654) in the Current Procedural Terminology (CPT®) 2016 code set, there has been confusion about reporting biopsies with these three codes. This article clarifies the intent and appropriate use of the EBUS codes and the non-EBUS bronchoscopic biopsy codes. Endoscopy  31622Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)  31652with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations...

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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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