You Be the Coder: Know the New Codes 31652, 31653, 31654

Why This Topic Matters

Accurate reporting of bronchoscopy and EBUS services depends on knowing when the newer CPT options apply and how they relate to earlier reporting methods. This kind of update can affect charge capture, claim accuracy, and compliance in pulmonary practices.

Article Sections

1. Question

   The article opens with a reader question about billing for a newly introduced bronchoscopy-related code. It frames the topic around CPT changes and EBUS reporting.

2. Answer

   This section introduces the CPT 2016 update and explains that multiple new code options were added for endobronchial ultrasound during bronchoscopy. It contrasts the newer reporting structure with the prior single-code approach.

3. Before 2016

   This section describes the earlier reporting framework used before the 2016 changes. It references the prior EBUS reporting approach in relation to bronchoscopy and diagnostic or therapeutic intervention.

4. As of Jan. 1, 2016

   This section summarizes the introduction of a dedicated new CPT code effective at the start of 2016. It places the code in the context of bronchoscopy, EBUS, and sampling-related services.

5. Expanding on code 31652

   This section notes that additional related code options were added alongside the new code and distinguishes their broad reporting contexts. It covers the extended range of EBUS-related services described in the article.

6. Reminder

   The closing note briefly reviews a common clinical scenario in which EBUS may be performed during bronchoscopy. It also mentions associated sampling activity in general terms.