Wiki bronchoscopy coding

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TWilliam2019

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Trying to learn about bronchoscopies

would this be a flexible bronch 31622

the flexible bronchoscope was inserted into the tracheostomy and guided down into the trachea. The carina was visualized. The right mainstem bronchus was intubated. The orifice of the right upper lobe bronchus was identified. There were no gross lesions. The bronchus intermedius was intubated. The orifice of the right lower lobe and right middle lobe bronchi were identified and free from gross lesion. All right airways to the level of the segmental bronchi were serially investigated and found to be free of gross pathology. The bronchoscope was then returned to the carina and the left mainstem bronchus intubated. The orifice of the left upper and lower lobe bronchi and free of any gross lesion. All left airways were then serially investigated and found to be free of gross pathology. The airways were suctioned clear and the bronchoscope withdrawn from the patient.
 
TWilliam2019 said:
Trying to learn about bronchoscopies

would this be a flexible bronch 31622

the flexible bronchoscope was inserted into the tracheostomy and guided down into the trachea. The carina was visualized. The right mainstem bronchus was intubated. The orifice of the right upper lobe bronchus was identified. There were no gross lesions. The bronchus intermedius was intubated. The orifice of the right lower lobe and right middle lobe bronchi were identified and free from gross lesion. All right airways to the level of the segmental bronchi were serially investigated and found to be free of gross pathology. The bronchoscope was then returned to the carina and the left mainstem bronchus intubated. The orifice of the left upper and lower lobe bronchi and free of any gross lesion. All left airways were then serially investigated and found to be free of gross pathology. The airways were suctioned clear and the bronchoscope withdrawn from the patient.
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I think that would be 31615.
 
mk2001 said:
I think that would be 31615.
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this is first part of the note
A redo midline vertical incision was then made through the skin and subcutaneous tissue. The midline strap muscles were then divided in the raphe and dissected from the underlying trachea. The cricoid cartilage was then palpated and the 2nd and 3rd tracheal rings identified where the previous tracheostomy had been placed.

The ETT cuff was deflated and at the 2nd - 3rd tracheal interspace an anterior tracheotomy incision was made. A #6 XLT distal Shiley tracheostomy tube then inserted and the cuff was inflated. EtCO2 was confirmed and the tube was connected to the ventilator. Adequate expiratory volumes were ensured. The tracheostomy tube was then secured using sutures and trach ties.
 
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