My ENT provider occasionally does 3 different procedures for patients with neck masses. He'll do a direct laryngoscopy w/bx (31535) a cervical esophagoscopy (43200) and a bronchoscopy (31622). All 3 procedures are done with different scopes. His esophagoscopy does not include the whole esophagus, only the uppermost part. Would this limited exam require a -52? The furthest anatomy the bronchoscopy exam includes are the bilateral mainstem bronchi, down to the bronchus intermedius. Since this exam doesn't include the lobar bronchi, would it also require the -52? And, would it be appropriate to add the -59 to indicate the exam was done with a different scope, since 31622 is bundled with 31535?
Thanks,
Sue
Thanks,
Sue