Multiple procedures during Bronch

JBJ

Contributor
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Provider biopsies and brushes the same lesion during bronch. Are both 31625 and 31623 billable since they are the same lesion?
 

cpc2007

Guru
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There are no edits prohibiting reporting 31625 and 31623 together. In my experience most payers do reimburse both following the multiple endoscopy payment rules because 31625 is a biopsy using forceps that takes a solid piece of tissue for pathology while 31623 uses a brush that obtains cells cent for cytology. So the analysis and results they provide pathologically are unique.

I hope that helps.

Kim
www.codingmastery.com
 
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