tci Part B Insider - 2014 Issue 23

Reader Question: Bronchoscopy Coding Can Be Tricky

Question: Our pulmonologist performed a bronchoscopy with left upper and lower lobe endobronchial biopsies, left lower lobe transbronchial biopsy, left upper lobe brushing, left upper and lower lobe washing. How should I code these procedures? Answer: The correct CPT® code for bronchoscopy for the left upper and lower lobe endobronchial biopsies is 31625 regardless of the number of biopsies taken. The left lower lobe transbronchial biopsy is 31628 (Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy[s], single lobe). As per CPT® rules, you can bill 31628 only once per lobe even if physicians biopsied...

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