What is the CPT code for this case? example: 27510-RT Appendix B Surgical Case #

Question

What is the CPT code for this case? example: 27510-RT

Appendix B Surgical Case #61 Operative Report medure Fiberoptic bronchoscopy usgnosis Hemoptysis with easily bruisable mucosa and bronchiectasis rdnique: The patient was brought to the endoscopy suite and placed on a stretcher. Oxygen was given via nasal cannula at 3 L/min. Local anesthetic lidocaine was given to anesthetize the upper airway. Because the nostrils had consider- able blockage secondary to trauma, the oral route was used for the bronchos- copy. Following placement of a bite block and application of Cetacaine to the posterior pharynx, the fiberoptic bronchoscope was placed without difficulty into the upper airway The epiglottis appeared somewhat prominent, but normal. In addition, the vocal cords appeared normal. The bronchoscope was passed easily through the cords into the trachea, which also appeared normal, although somewhat easily bruisable. The carina appeared normal. The right side was entered first. The right upper lobe and its subsegments were seen very clearly, and there appeared to be bronchiectasis. The 6-mm bronchoscope would go very easily into the subsegments. No mass lesions were seen. The bronchus intermedius right middle lobe, lower lobe, and its subsegments also were entered, and, again, bronchiectasis was noted. There appeared to be no abnormal mucosal lesions and no abnormal secretions; however, the bronchial tree was easily bruisable. The bronchoscope then was withdrawn to the carina and the left side entered. The left main bronchus, upper lobe, lower lobe, and its subsegments were seen to be an extrinsic compression of a subsegment of the left area appeared lower lobe; however, no mucosal lesions were seen and this pulsatile, which suggested extrinsic compression from the descending aorta. Once again, easy bruisability of the mucosa bronchoscope was no apparent complications. withdrawn. There were entries:

Explanation / Answer

Bronchoscopy is a procedure used in the evaluation and treatment of lung patients.most times physician uses a fiberoptic scope an d the procedure is bilateral .Since the pulmonologist would evaluat both the lungs during the procedure..Biopsies,bruisings are included in 31623-31633 rangeof codes.

31623-51 Bronchoscopy rigid or flexible,including fluroscopic guidance ,when performed .31623 is appended with 51..

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