Wiki Bronchoscopy Coding

Bundled into what? Into a more extensive procedure? Into other bronch procedures?

A diagnostic bronchoscopy (31622) is designated as a "separate procedure" and is considered an integral component of other services so many times you will not bill this with other procedures (not to mention, most surgeons perform a diagnostic bronch to get a "lay of the land" before performing thoracic surgery, like a lobectomy of the lung, and so you would not bill separately for this in those cases).

When multiple bronchoscopy procedures are performed, I bill for all of them. Payment on the first code will be paid at 100% and the subsequent bronch codes will be paid based on endoscopic payment rules.

Whenever in doubt about bundling though, check CCI for edits.

Lisi, CPC
eharkler@nmh.org
 
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