tci Outpatient Facility Coding Alert - 2015 Issue 8

You Be the Coder: Know When to Use 31622 and 31623

Question: My doctor wants me to bill 31623 and 31622 for services during the same encounter, but I don’t think I can bill both. Would you confirm for me?  Arkansas Subscriber  Answer: You are correct that you can’t report both codes together if the pulmonologist performed one bronchoscopy with brushings. Code 31622 (Bronchoscopy, rigid or flexible, including  fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed [separate procedure]) represents a diagnostic bronchoscopy and is inherent in the procedure represented by 31623 (Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings)...

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