Results 1 to 2 of 2

bronchoscopy 31625 with 31623

  1. Default bronchoscopy 31625 with 31623
    Exam Training Packages
    I am a little confused. I believe I can bill 31625 and 31623 together, but I am uncertain about diagnosis code to use with 31623. The brushing are in the same areas that the biopsy was done. Does it not have to be in different areas?

    I appreciate any info.

    Below is the operative report:

    OPERATIVE PROCEDURE: After obtaining consent from the patient and explaining to her the risks of the procedure including bleeding and infection, the patient was brought to the endoscopy suite. Topical anesthesia was achieved by instilling Hurricaine spray and viscous lidocaine in the nares and oropharynx respectively. Conscious sedation was achieved by the anesthesiologist by giving IV Diprivan. The bronchoscope was introduced through the right naris and advanced and the vocal cords were visualized which appeared normal. The vocal cords were anesthetized with 2% Lidocaine. The bronchoscope was advanced down the trachea which was normal with a sharp carina. The trachea and carina were anesthetized with 1% Lidocaine and the lower area was instilled with 1% Lidocaine respectively.

    The bronchoscope was introduced into the right mainstem bronchus and the subsegments of the right upper, middle, and middle segment of the right lower lobe were briefly examined and were normal.

    The bronchoscope was then advanced to the left mainstem bronchus and the superior segment of the left lower lobe was completely occluded by a polypoid tumor. The left subcarina was widened and both the lingua and upper divisions were narrowed with abnormal appearing mucosa. The left upper lobe was significantly narrowed by the submucosal tumor. Bronchial washings were obtained from the left upper lobe and the superior segment followed by bronchial brushings from both areas. Several endobronchial biopsies were obtained from the superior segment and the left upper lobe. Visualization was obscured because of bleeding and excessive mucoid secretions.

  2. Default
    We've had so much trouble getting our multiple (same lung, different lobes), and our bilateral Bronchs paid in the past year, I'm not sure I should give you any advice, but here goes.... I've been to many pulmonary seminars and most lecturers have told me that even within the same lobe, to use mod -59 for another modality in that lobe. This goes against most all other code-set "families" you can name, so I'm just repeating what I've been told. My head is still spinning around the fact that CPT Assistant (1/2002, pg 10) tells us that "the series of codes 31623 through 31656 describe unilateral procedures." Then, at some of these seminars, the lecturers have said that all Bronch codes are bilateral. It may be time for me to retire.

Similar Threads

  1. HELP - 31623 and 31624 bundled?
    By dreamer662 in forum General Surgery
    Replies: 1
    Last Post: 09-23-2014, 09:45 PM
  2. 31623 or unlisted
    By plarabee in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 07-31-2013, 10:08 AM
  3. Bronchoscopy - with a qualifying procedure
    By jaud63 in forum Payer/Health Plan
    Replies: 0
    Last Post: 11-15-2012, 08:49 AM
  4. Bronchoscopy Coding - 31623 and 31628
    By billylewis in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 08-10-2011, 01:39 PM
  5. bronchoscopy 31623
    By karenkostecki in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-11-2010, 02:25 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.