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2021 Coding & Payment Quick Reference - Boston Scientific

Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, Coding or site of service Coding options listed within this guide are commonly used codes and are not intended to be an all-inclusive list. We recommend consulting your relevant manuals for appropriate Coding following codes are thought to be relevant to Endobronchial Ultrasound (EBUS) Guided Needle Aspiration Biopsy procedures and are referenced throughout this guide. All rates shown are 2021 Medicare national averages; actual rates will vary geographically and/or by individual Physician, Hospital Outpatient, and ASC PaymentsThere is no applicable Medicare C- code for the Acquire Pulmonary Endobronchial Ultrasound Fine Needle Biopsy (FNB) Device, Expect Pulmonary Endobronchial Ultrasound Transbronchial Aspiration Needle, or CoreDx Pulmonary Endobronchial Ultrasound (EBUS) Guided Needle Aspiration Biopsy Procedures2021 Coding & Payment Quick ReferenceC- code InformationCPT Code1 code DescriptionWorkTotal OfficeTotal FacilityIn-OfficeIn-FacilityHospital OutpatientASCB iopsy (with Forceps)31625 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy

C-Code Information CPT® Code1 Code Description Work Total Office Total Facility In-Office In-Facility Hospital Outpatient ASC Biopsy (with Forceps) 31625 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites 3.11 10.53 4.54 $367 $158 $1,496 $645

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