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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Article Overview
This CPT Assistant article reviews reporting considerations for bronchoscopic biopsy procedures in the setting of endobronchial ultrasound and non-EBUS techniques. It is aimed at coding professionals who need to understand how the relevant CPT bronchoscopy codes are grouped and how the article frames documentation and reporting topics across central and peripheral airway sampling.
Why This Topic Matters
Bronchoscopic biopsy coding can be difficult when multiple technologies or sampling approaches are used in the same session. This article helps readers identify the scope of CPT guidance being discussed so they can determine whether the premium content is relevant to their coding, documentation, or audit needs.
Article Sections
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Endoscopy
Introduces the bronchoscopy-related CPT code group discussed in the article and frames the topic around endoscopic biopsy reporting. It also identifies the broader procedure categories covered in the guidance.
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EBUS-guided procedure overview
Covers the article’s discussion of endobronchial ultrasound-related bronchoscopy reporting and the relationship among the EBUS procedure codes. It explains the general scope of the guidance for central and lymph node sampling.
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Reporting with other diagnostic or therapeutic bronchoscopy codes
Addresses how the article discusses use of EBUS-related codes alongside other bronchoscopy services in the same session. It also covers the general documentation themes associated with mixed-procedure reporting.
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Radial EBUS and peripheral lesion guidance
Summarizes the article’s treatment of peripheral airway localization using radial ultrasound technology. It also covers the broader relationship between that guidance and subsequent sampling procedures.
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Non-EBUS bronchoscopic biopsy reporting
Describes the article’s discussion of biopsy procedures performed without EBUS and how those services are grouped within the CPT bronchoscopy code family. It includes the general scope of central airway, transbronchial, and needle aspiration topics.
What You Will Learn
- How the article frames EBUS and non-EBUS bronchoscopy biopsy reporting
- Which CPT bronchoscopy code groups are discussed
- What general documentation themes the article addresses
- How the article distinguishes central and peripheral airway sampling topics
- What kinds of mixed-procedure scenarios are covered
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation improvement staff
- Pulmonary and bronchoscopy billing teams
- Physician practices and facility reimbursement staff
Codes Discussed
Code Ranges Discussed
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