tci ED Coding & Reimbursement Alert - 2022 Issue Q4

Reader Questions: Check Bronchoscopy Type Before Choosing Code

Question: The ED physician performs a bronchoscopy. How should I report this procedure? AAPC Forum Subscriber Answer: It depends on whether the bronchoscopy is diagnostic or therapeutic. For a diagnostic bronchoscopy, report 31622 (Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)). When the bronchoscopy turns therapeutic, things get much more specific. There are nearly 30 therapeutic bronchoscopy codes, ranging from 31623 (… with brushing or protected brushings) through +31654 (Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transendoscopic endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) for...

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