decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Cardiothoracic Procedures / Bronchoscopy - codes 31622-31656
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Article Overview
This premium article explains the scope of CPT bronchoscopy coding and the major categories of bronchoscopic services covered in the cardiothoracic procedures section. It is aimed at coders, billers, and auditors who need to understand how bronchoscopy-related services are organized and what general reporting issues are addressed. The article also discusses special situations such as biopsy approaches, ultrasound-assisted bronchoscopy, tracheoscopy distinctions, tracheotomy-related procedures, and related fluoroscopy guidance.
Why This Topic Matters
Bronchoscopy coding can involve multiple procedure types and special reporting considerations, so understanding the structure of this code family helps support accurate claim review and code selection.
Article Sections
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Bronchoscopy overview
Introduces the bronchoscopy procedure and describes the general scope of the CPT bronchoscopy code family. It also notes broad reporting considerations for services performed through the bronchoscope.
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Special bronchoscopy services
Covers selected bronchoscopy-related services that have unique reporting considerations within the CPT system. Topics include diagnostic and therapeutic bronchoscopic procedures and related catheter placement concepts.
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Bronchoscopy biopsy services
Summarizes the biopsy-related bronchoscopy codes and distinguishes the major biopsy approaches discussed in the article. It also addresses how the section is organized within the broader bronchoscopy code family.
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Endoscopic bronchial ultrasound
Describes the role of ultrasound-assisted bronchoscopy and its place in the CPT bronchoscopy code set. The section focuses on the general purpose of this technique.
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Tracheoscopy and tracheotomy-related bronchoscopy
Explains the distinction between tracheoscopy and bronchoscopy and notes the codes discussed for tracheobronchoscopy through an established tracheotomy incision. It also addresses how these procedures are framed within CPT guidance.
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Fluoroscopy guidance
Discusses the relationship between bronchoscopy and fluoroscopic guidance reporting. The section addresses the article’s guidance on associated imaging services.
What You Will Learn
- How the bronchoscopy code family is organized in CPT
- Which bronchoscopy services are described as having special reporting needs
- How the article groups biopsy-related bronchoscopy services
- How ultrasound-assisted bronchoscopy is presented
- How tracheoscopy and tracheotomy-related bronchoscopy are distinguished
- What general guidance is given about associated fluoroscopy reporting
Who Should Read This
- Medical coders
- Billing specialists
- Compliance auditors
- Revenue cycle staff
- Physician documentation reviewers
Codes Discussed
Code Ranges Discussed
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