bronchoscopy

  1. J

    Wiki Code for Flexible Bronch with dynamic maneuvers for Tracheobronchomalacia

    New to interventional pulmonary- Op note states A thorough airway exam was performed after passage of the bronchoscope. The larynx and vocal cords were anatomically normal. No significant erythema of the vocal folds. The trachea was anatomically normal. The right sided airway was anatomically...
  2. A

    Wiki decompression subglottic cyst

    I needed some advice on this procedure. I can't find a code for decompression of anterior subglottic cyst and I was wondering if anyone knows a code for it or what code would be best to use for the following procedure: Procedure: Flexible Fiberoptic Nasolaryngoscopy, Direct laryngoscopy...
  3. A

    Wiki Decompression of subglottic cyst

    I needed some advice on this procedure. I can't find a code for decompression of anterior subglottic cyst and I was wondering if anyone knows a code for it or what code would be best to use for the following procedure: Procedure: Flexible Fiberoptic Nasolaryngoscopy, Direct laryngoscopy...
  4. A

    Wiki Decompression of subglottic cyst

    I needed some advice on this procedure. I can't find a code for decompression of anterior subglottic cyst and I was wondering if anyone knows a code for it or what code would be best to use for the following procedure: Procedure: Flexible Fiberoptic Nasolaryngoscopy, Direct laryngoscopy...
  5. A

    Wiki Coding for foreign body removal

    The indications for procedure states: "foreign body in the airway noticed at the subglottis on CXR." The doctor did a direct laryngoscopy and bronchoscopy, esophagoscopy, injection laryngoplasty of laryngeal cleft, bilateral tympanostomy with tubes. For both the DLB and the esophagoscopy...
  6. A

    Wiki Subglottic cysts

    The doctor did a CO2 laser ablation of subglottic cysts. The only code I can find is 31572 but it says laser ablation with lesion. So since it is a cyst and not a tumor can I still use this code? Or could this be inclusive with one of the other procedures. So far I have codes 31561 and 31528...
  7. A

    Wiki Excision of tracheal granulomas

    The doctor did a direct laryngoscopy and bronchoscopy, excision of tracheal granulomas, and balloon dilation. The code I have for the balloon dilation is 31630. I'm having a hard time finding a code for the excision o the tracheal granulomas. Would it be included in the 31630 code? I also found...
  8. L

    Wiki Tracheobronchoscopy coding

    Can you please assist on how to code a flexible bronchoscopy introduced through the tracheostomy with bronchoalveolar lavage?
  9. A

    Wiki Laryngeal cleft repair with injection

    The doctor performed a laryngeal cleft repair with prolaryn plus. I originally was thinking cpt code 31571 or 31574. But those codes mention injection in the vocal cords and I can't find another code that is maybe closer. Does anyone have an idea if those codes are appropriate or if there is a...
  10. J

    Wiki CPT code 31624

    Help! New to pulmonary coding. In search of written documentation that when performing a lavage (BAL) that documentation needs to state instillation and return. Does anyone have guidelines or documentation, preferably from CMS stating the requirements? Thank you!
  11. T

    Wiki Bronchoscopy 31622 can this be used for a difficult airway during a Cholecystectomy?

    My doctor has said he did a bronchoscopy for a difficult airway during a cholecystectomy is the 31622 the correct code to bill? Thank you for your help!
  12. J

    Wiki Panendoscopy for oral cancer

    Hello everyone! I am a biller who is brand new to the field of ENT and am learning as I go -- I was unexpectedly thrown in to the role as the previous coder left with no notice :-o Can you experienced ENT coders please assist me with what seems to be a fairly common set of procedures done by...
  13. M

    Wiki Bronchoscopy Coding -- HELP PLEASE

    I am very new to coding for different bronchoscopies and I wanted to post this report and see if I could get some feedback as to whether or not the community thinks I am doing this correctly. I coded the following reports as: 31652 and 31624. DX: R59.1 and R91.8. Description: Patient was...
  14. C

    Wiki Methylprednisolone injections for tracheal stenosis during bronchoscopy

    Our provider performed a bronchoscopy which included balloon dilation of the trachea as well as injections of Methylprednisolone to the upper trachea. I have been unable to find a code for the injections during the bronchoscopy. Would this be included in the balloon dilation or is there a...
  15. C

    Wiki DL with Rigid Bronchoscopy

    Two questions: When a physician states pre/postoperative diagnosis of "Failure to extubate", all the literature I read states the physician should indicate the reason for the failure and that should be the diagnosis. What are your thoughts? I have a practice that completes DL and Rigid...
  16. C

    Wiki EBUS Bundling Issue

    Our providers are performing both EBUS biopsies as well as video/direct visualization endobronchial biopsies during the same bronchoscopy session. Per NCCI, we are unable to bill 31625 & 31652 or 31653 together. Also, per NCCI, we are unable to bill 31623-bronchoscopy with bronchial brushings-...
  17. B

    Wiki Bronchoscopy and Subsequent Hospital Visit

    I have found the following scenario when auditing for our pulmonologists: patient admitted to hospital, pulmonary consult is requested and done. The consult report states patient will need a bronch. Q 1. Does there need to be a request in the medical record from the attending...
  18. A

    Wiki Bronchoscopy reimbursement

    :confused:Our pulmonologist questions how payment will be affected when she performs a bronch and wants to bill for subsequent care at the hospital on the same date of service. For our Medicare patients, I have found that reimbursement has not been cut when billed with M-25. Do you have any...
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