Reader Question:
Identify Location For Multiple Stent Placements
Published on Thu Apr 26, 2012
Question: Our pulmonologist recently performed a stent placement into the bronchus. During the procedure, our pulmonologist inserted a bronchoscope and placed a 12 x 40 stent initially. But since he was not satisfied about the stent's positioning, he decided to remove the stent and replaced it with a 12 x 30 stent into the same location. How do I report this procedure? Should I report the placement of both the stents?New York SubscriberAnswer: You should report the procedure performed by your pulmonologist using 31636 (Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent[s] [includes tracheal/bronchial dilation as required], initial bronchus). If you see the descriptor for the code, you will notice that the same code applies even if your pulmonologist placed one or more stents in the same location in the bronchus. So, in this scenario, you will only have to use 31636 to report [...]