Pulmonology Coding Alert

Reader Question:

Using a Modifier for Bronchoscopies? Think Again

Question: When the pulmonologist performs an endoscopic service, such as a transbronchial lung biopsy (31628), but no follow-up care, which modifier should we use?

Florida Subscriber Answer: Actually, you don't need a modifier. Endoscopic procedures, including transbronchial lung biopsy (31628, Bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with transbronchial lung biopsy[s], single lobe), have no postoperative periods.

Therefore, you should report these services with the appropriate CPT code (31628) to reflect the physician's work.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Pulmonology Coding Alert

View All