Respiratory

Respiratory Question for the Week of January 1, 2018

Question:

Can we separately report endoscopic procedures that are performed on two regions of the respiratory system with different types of endoscopes?

Answer:

Yes, both procedures may be separately reportable if they are medically reasonable and necessary. The Centers for Medicare & Medicaid Services give the following example.

If a patient requires diagnostic bronchoscopy for a lung mass with a fiberoptic bronchoscope and a separate laryngoscopy for a laryngeal mass with a fiberoptic laryngoscope at the same patient encounter, HCPCS/CPT® codes for both procedures may be reported separately. It must be medically reasonable and necessary to utilize two separate endoscopes to report both codes.


CPT® is a registered trademark of the American Medical Association

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.