AHA Coding Clinic® for HCPCS - 2015 Quarter 4; Ask the editor
Bronchoscopy with multiple transbronchial aspiration biopsy
The documentation in the health care record supports the coding of CPT code 31629 , Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), and CPT code 31633 for the additional lymph node biopsy in a different lobe. However, we are unsure if we can report CPT code 31633 more than once for the additional third lymph node in a different lobe. Can CPT codes 31633 , Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s) each additional lobe, be coded twice for the second and third lymph node biopsies in separate lobes? Or do CPT coding instructions imply only once per encounter? ...
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Article Overview
This article discusses a bronchoscopy coding scenario involving transbronchial needle aspiration biopsy and the reporting of additional biopsy services across different lobes. It is intended for coding professionals who need help understanding how to document and interpret CPT guidance for this type of procedure. The article focuses on a specific CPT reporting question and the coding context around multiple biopsies.
Why This Topic Matters
Accurate reporting of bronchoscopic biopsy services depends on correctly identifying the applicable CPT codes and the circumstances under which additional services may be considered. This article is relevant for coders, auditors, and clinical documentation staff working with respiratory procedures and related billing questions.
What You Will Learn
- How the article frames a bronchoscopy coding question involving multiple biopsy services.
- What CPT coding topic is being discussed in the context of transbronchial needle aspiration biopsy.
- Why documentation review matters for this bronchoscopic procedure scenario.
- How additional biopsy reporting is being questioned across separate lobes.
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Clinical documentation specialists
- Respiratory and pulmonary practice staff
Codes Discussed
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