AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 2; Ask the Editor

Transbronchial Lung Biopsy Using Alligator Forceps

A patient presented for transbronchial lung biopsy due to hilar lymphadenopathy and mediastinal adenopathy. Transbronchial biopsies of a lesion in the left upper lobe were performed using alligator forceps under fluoroscopic guidance. The sampling device penetrated the full thickness of the bronchial wall to obtain the biopsy of lung tissue. Four biopsy samples were obtained. The surgeon noted that the transbronchial biopsy technique was carried out because the sampling site was not visible endoscopically. It is not clear which root operation, Excision or Extraction, would be assigned. What is the correct root operation for a transbronchial biopsy of the left upper lung using alligator forceps? ...

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