2017 Pulmonary Coding and Payment Quick Reference

1 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 Physician, Hospital Outpatient, and ASC Payments The bronchoscopy procedures listed below (except CPT Codes 31622, 31660, and 31661) all include a diagnostic bronchoscopy when performed by the same Pulmonary Procedures2017 Coding & Payment Quick ReferenceCPT Code1 Code DescriptionWorkTotal OfficeTotal FacilityIn-OfficeIn-FacilityHospital OutpatientASCB iopsy31625 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple $338$163$1,270 $56931628 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed.

2 With transbronchial lung biopsy(s), single $359$183$2,431 $1,11731632 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), each additional lobe (List separately in addition to code for primary procedure)* $66$51$0$0 Cytology and Brush31622 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure) $246$137$1,270 $56931623 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected $276$139$1,270 $56931624 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar $258$141$1,270 $569 Foreign Body Removal (Stent Removal)31635 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of foreign $286$182$1,270 $569 Effective: 1 JAN2017 Expires: 31 DEC2017MS-DRG Rates Expire: 30 SEP2017 ENDO-47409-AF FEB2017 See important notes on the uses and limitations of this information on page copyright 2016 American Medical Association.

3 All rights reserved. CPT is a registered trademark of the American Medical ,2 Facility32017 Medicare National Average Payment2 Effective: 1 JAN2017 Expires: 31 DEC2017MS-DRG Rates Expire: 30 SEP2017 ENDO-47409-AF FEB2017 CPT Code1 Code DescriptionWorkTotal OfficeTotal FacilityIn-OfficeIn-FacilityHospital OutpatientASCN eedle Aspiration31629 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i) $444$195$2,431 $1,11731633 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), each additional lobe (List separately in addition to code for primary procedure)* $82$66$0$031645 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial (eg, drainage of lung abscess) $260$155$1,270 $569 Stenting31631 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required) $238$4,363 $1,70831636 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s) (includes tracheal/bronchial dilation as required), initial $229$4,363 $2,56131637 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed.

4 Each additional major bronchus stented (List separately in addition to code for primary procedure)* $77$0$031638 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or bronchial stent inserted at previous session (includes tracheal/bronchial dilation as required) $261$4,363 $1,708 Balloon Dilation31630 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with tracheal/bronchial dilation or closed reduction of $207$2,431 $1,117 Bronchial Thermoplasty31660 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 $203$4,363 N/A*31661 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more $214$4,363 N/A*Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration31652 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or $843$230$2,431 $1,11731653 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or $892$255$2,431 $1,11731654 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed.

5 With transendoscopic endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s) $129$70$0$0 See important notes on the uses and limitations of this information on page copyright 2016 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical ,2 Facility32017 Medicare National Average Payment3 See important notes on the uses and limitations of this information on page copyright 2016 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Hospital Inpatient Coding ICD-10 PCS procedure codes are used by the hospital inpatient department to report the medical and/or surgical procedure performed on a : 1 JAN2017 Expires: 31 DEC2017MS-DRG Rates Expire: 30 SEP2017 ENDO-47409-AF FEB2017 ICD 10 PCSCodeICD 10 PCS Description0B534 ZZDestruction of Right Main Bronchus, Percutaneous Endoscopic Approach0B538 ZZDestruction of Right Main Bronchus, Via Natural or Artificial Opening Endoscopic0B544 ZZDestruction of Right Upper Lobe Bronchus, Percutaneous Endoscopic Approach0B548 ZZDestruction of Right Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic0B554 ZZDestruction of Right Middle Lobe Bronchus, Percutaneous Endoscopic Approach0B558 ZZDestruction of Right Middle Lobe Bronchus, Via Natural or Artificial Opening Endoscopic0B564 ZZDestruction of Right Lower Lobe Bronchus, Percutaneous Endoscopic Approach0B568 ZZDestruction of Right Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic0B574 ZZDestruction of Left Main Bronchus.

6 Percutaneous Endoscopic Approach0B578 ZZDestruction of Left Main Bronchus, Via Natural or Artificial Opening Endoscopic0B584 ZZDestruction of Left Upper Lobe Bronchus, Percutaneous Endoscopic Approach0B588 ZZDestruction of Left Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic0B594 ZZDestruction of Lingula Bronchus, Percutaneous Endoscopic Approach0B598 ZZDestruction of Lingula Bronchus, Via Natural or Artificial Opening Endoscopic0B5B4 ZZDestruction of Left Lower Lobe Bronchus, Percutaneous Endoscopic Approach0B5B8 ZZDestruction of Left Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic0BB34 ZZExcision of Right Main Bronchus, Percutaneous Endoscopic Approach0BB38 ZZExcision of Right Main Bronchus, Via Natural or Artificial Opening Endoscopic0BB44 ZZExcision of Right Upper Lobe Bronchus, Percutaneous Endoscopic Approach0BB48 ZZExcision of Right Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic0BB54 ZZExcision of Right Middle Lobe Bronchus, Percutaneous Endoscopic Approach0BB58 ZZExcision of Right Middle Lobe Bronchus, Via Natural or Artificial Opening Endoscopic0BB64 ZZExcision of Right Lower Lobe Bronchus, Percutaneous Endoscopic Approach0BB68 ZZExcision of Right Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic0BB74 ZZExcision of Left Main Bronchus, Percutaneous Endoscopic Approach0BB78 ZZExcision of Left Main Bronchus, Via Natural or Artificial Opening Endoscopic0BB84 ZZExcision of Left Upper Lobe Bronchus, Percutaneous Endoscopic Approach0BB88 ZZExcision of Left Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic0BB94 ZZExcision of Lingula Bronchus.

7 Percutaneous Endoscopic Approach0BB98 ZZExcision of Lingula Bronchus, Via Natural or Artificial Opening Endoscopic0 BBB4 ZZExcision of Left Lower Lobe Bronchus, Percutaneous Endoscopic Approach0 BBB8 ZZExcision of Left Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic0B538 ZZDestruction of Right Main Bronchus, Via Natural or Artificial Opening Endoscopic0B548ZZ Destruction of Right Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic 0B568ZZ Destruction of Right Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic 0B578ZZ Destruction of Left Main Bronchus, Via Natural or Artificial Opening Endoscopic 0B588ZZ Destruction of Left Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic 0B598ZZ Destruction of Lingula Bronchus, Via Natural or Artificial Opening Endoscopic 0B5B8ZZ Destruction of Left Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic 4 See important notes on the uses and limitations of this information on page copyright 2016 American Medical Association.

8 All rights reserved. CPT is a registered trademark of the American Medical : 1 JAN2017 Expires: 31 DEC2017MS-DRG Rates Expire: 30 SEP2017 ENDO-47409-AF FEB2017 ICD 10 PCSCodeICD 10 PCS Description0BJ08 ZZInspection of Tracheobronchial Tree, Via Natural or Artificial Opening Endoscopic0 BJK8 ZZInspection of Right Lung, Via Natural or Artificial Opening Endoscopic0 BJL8 ZZInspection of Left Lung, Via Natural or Artificial Opening Endoscopic0B933 ZXDrainage of Right Main Bronchus, Percutaneous Approach, Diagnostic0B934 ZXDrainage of Right Main Bronchus, Percutaneous Endoscopic Approach, Diagnostic0B937 ZXDrainage of Right Main Bronchus, Via Natural or Artificial Opening, Diagnostic0B938 ZXDrainage of Right Main Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic0B943 ZXDrainage of Right Upper Lobe Bronchus, Percutaneous Approach, Diagnostic0B944 ZXDrainage of Right Upper Lobe Bronchus, Percutaneous Endoscopic Approach.

9 Diagnostic0B947 ZXDrainage of Right Upper Lobe Bronchus, Via Natural or Artificial Opening, Diagnostic0B948 ZXDrainage of Right Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic0B953 ZXDrainage of Right Middle Lobe Bronchus, Percutaneous Approach, Diagnostic0B954 ZXDrainage of Right Middle Lobe Bronchus, Percutaneous Endoscopic Approach, Diagnostic0B957 ZXDrainage of Right Middle Lobe Bronchus, Via Natural or Artificial Opening, Diagnostic0B958 ZXDrainage of Right Middle Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic0B963 ZXDrainage of Right Lower Lobe Bronchus, Percutaneous Approach, Diagnostic0B964 ZXDrainage of Right Lower Lobe Bronchus, Percutaneous Endoscopic Approach, Diagnostic0B967 ZXDrainage of Right Lower Lobe Bronchus, Via Natural or Artificial Opening, Diagnostic0B968 ZXDrainage of Right Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic0B973 ZXDrainage of Left Main Bronchus, Percutaneous Approach, Diagnostic0B974 ZXDrainage of Left Main Bronchus, Percutaneous Endoscopic Approach, Diagnostic0B977 ZXDrainage of Left Main Bronchus, Via Natural or Artificial Opening, Diagnostic0B978 ZXDrainage of Left Main Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic0B983 ZXDrainage of Left Upper Lobe Bronchus, Percutaneous Approach, Diagnostic0B984 ZXDrainage of Left Upper Lobe Bronchus, Percutaneous Endoscopic Approach, Diagnostic0B987 ZXDrainage of Left Upper Lobe Bronchus, Via Natural or Artificial Opening, Diagnostic0B988 ZXDrainage of Left Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic.

10 Diagnostic0B993 ZXDrainage of Lingula Bronchus, Percutaneous Approach, Diagnostic0B994 ZXDrainage of Lingula Bronchus, Percutaneous Endoscopic Approach, Diagnostic0B997 ZXDrainage of Lingula Bronchus, Via Natural or Artificial Opening, Diagnostic0B998 ZXDrainage of Lingula Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic0B9B3 ZXDrainage of Left Lower Lobe Bronchus, Percutaneous Approach, Diagnostic0B9B4 ZXDrainage of Left Lower Lobe Bronchus, Percutaneous Endoscopic Approach, Diagnosti