RESPIRATORY SYSTEM CODES
Changes to the Respiratory System chapter includes the addition of 11 new codes and the deletion of 5 codes. Only the new codes are addressed.
|31647||Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, when performed, assessment of airway leak, airway sizing and insertion of bronchial valve(s), initial lobe|
|31648||with removal of bronchial valve(s), initial lobe|
|31649||with removal of bronchial valve(s), each additional lobe (List separately in addition to code for primary procedure)|
|31651||with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion of bronchial valve(s), each additional lobe. (List separately in addition to code for primary procedure[s])|
Bronchial valves are used to repair air leaks. Lung disease such as asthma and emphysema may cause air leaks in the bronchial tree. These valves are inserted into the bronchials and expand in an umbrella-like fashion to seal the leaks. The valves close during inspiration to block air from reaching lung segments that have lost their elasticity. The valves open during expiration to permit the usual escape of air and secretions.
Valves can be placed into multiple bronchi to decrease the hyperinflation frequently found in emphysema or to control post-operative air leaks.
- 31647, 31651: In 31647, bronchial valve(s) are inserted into the initial lobe; in 31651, valve(s) are inserted into each additional lobe.
- 31648-31649: In 31648, valve(s) are removed from the initial lobe; in 31649, valve(s) are removed from each additional lobe.
An emphysematic patient had bronchial valve(s) placed in more than one lobe for control of a persistent air leak. Removal of the valves from both lobes is indicated. The valve from the first lobe is removed, followed by removal of the second valve……………………………………………….31648, 31649