• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki billing bronchs

Create Wiki
A

amsmith

Guru
Messages
100
Location
Yucaipa, CA
Best answers
0
I was told that we can bill bronchs not so much as bilateral (50) where it is a mirror image, but as a unilateral so that mucosal biopsies in both the RUL and the LLL would be billed as 31625x2. Can anyone help me find proof of this? Encoder Pro and Codecorrect say that more than one can be billed... I need your help. Thank you in advance. Anna
 
31625 should only be billed once per encounter; CPT assistant '99 indicates bronchoscopy is inherently bilateral, CPT assistant '04 indicates "...code is intended to be reported once, regardless of whether one or more biopsies are performed on a single site or multiple site".

CMS has a Medically Unlikely Edit (MUE) associated with CPT 31625 in which the daily max is = 1 unit.

Hope this helps,
 
You must log in or register to reply here.
Top