Cpt codes please help?!


Question:

Cpt codes please help?

endoscopic partial lobectomy
endoscopic biposy of teh lung
insertion of a chest tube for the pneumothorax
thanks if youcan help


Answers:

May vary by state... (California) but this is one for Biopsy for a single lobe

31628. Bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with transbronchial lung biopsy(s), single lobe $449.40 $196.62
CPT Assistant.Volume 14, Issue 9, September 2004
CPT Assistant.Volume 15, Issue 8, August 2005
CPT Assistant.Volume 11, Issue 6, June 2001

For each additional lobe:
31632. Bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with transbronchial lung biopsy(s), each additional lobe (List separately in addition to code for primary procedure) $79.52 $56.26
CPT Assistant.Volume 15, Issue 8, August 2005

HOWEVER, Needle Biopsy is a different code... so if it was done with a Wang Needle instead of forceps/alligator forceps, it's this one:

31633. Bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with transbronchial needle aspiration biopsy(s), each additional lobe (List separately in addition to code for primary procedure) $93.89 $69.32
CPT Assistant.Volume 14, Issue 5, May 2004
CPT Assistant.Volume 14, Issue 7, July 2004
CPT Assistant.Volume 14, Issue 9, September 2004
CPT Assistant.Volume 15, Issue 8, August 2005

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I'll see if I can find the rest...

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I think this one is for lobectomy:
32663. Thoracoscopy, surgical; with lobectomy, total or segmental $1426.79 $1426.79
CPT Assistant.Volume 4, Issue -1, 1994

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Couldn't find one for chest tube, as it depends on what the chest tube is for. If it's for Pneumothorax, it should be this one:

32002. Thoracentesis with insertion of tube with or without water seal (eg, for pneumothorax) (separate procedure) $217.59 $127.19
CPT Assistant.Volume 13, Issue 11, November 2003

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Good luck to you... you can do your own look-up via the link to the AMA site below:




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