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Thread: Bronchoscopy 31624

  1. #1

    Default Bronchoscopy 31624

    AAPC: Back to School
    One of our physicians would like to find a way to code bronchoscopy with bronchial alveolar lavage, 31624, when performed in more than one lobe of the lung. I did not find an appropriate add-on code since +31632 seems to apply only to 31628(transbronchial lung biopsy single lobe). Does 31624 include all sites during the same encounter or would a quantity indicator or modifier be used for billing more than one lobe. Thanks--

  2. #2
    Join Date
    Apr 2007
    Kokomo, IN


    Here's what CPT assistant has to say, but this does not qualify for multiple lobes, just bilateral.

    Bilateral bronchial alveolar lavage
    ******CPT Assistant, January 2002 Page: 10 Category: Coding Consultation
    ******Related Information

    Note from 3M:
    As of January 1, 2010:
    · 31622 has been revised to specify with cell washing, when performed.

    Respiratory System


    My physician performed a flexible bronchoscopy with bilateral bronchial alveolar lavage (code 31624). Should modifier -50, Bilateral procedure,be appended to code 31624, or is 31624 an inherently bilateral procedure code?

    AMA Comment

    From a coding perspective, the series of codes 31623 through 31656 describe unilateral procedures. To indicate that a procedure from this series was performed bilaterally, modifier -50, Bilateral procedure, should be appended to the appropriate code. Therefore, modifier -50 should be appended to code 31624 when bronchial alveolar lavage is performed bilaterally. Please note that code 31622, Bronchoscopy (rigid or flexible), diagnostic; with or without cell washing (separate procedure),is inherently bilateral, so it would not be appropriate to append modifier -50 to code 31622.

    CPT Assistant*©*Copyright 1990-2009, American Medical Association. All rights reserved.
    Last edited by Anna Weaver; 02-10-2010 at 10:21 AM. Reason: incomplete info
    Anna Weaver, CPC, CPMA, CEMC
    Associate Auditor

  3. #3

    Cool Anyone available to network on bronchoscopies?

    I have a couple bronch related codes that I would like to talk over with someone that is fluent in that area as well as getting paid on multiple bronchoscopies? Thank you.

  4. #4

    Default Bronchs

    Most insurances are not paying for multi codes If you bill a 31628 and 31629
    with a 31624 they will not pay 31624, i can't seem to get them to pay
    31627 the super D code either.


  5. #5

    Default Multiple Bronchoscopies

    Please see the link below. Medicare will reimburse the highest value procedure at 100% and then they will only pay difference of the base procedure and the allowed amount on the additional services. They are billable but in most cases will not pay anything.


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