ICD-10 Coding for Bronchoscopy(0BC68ZZ, 31622)
Complete ICD-10-CM coding and documentation guide for Bronchoscopy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bronchoscopy
0BC_8ZZPrimary Range
ICD-10-PCS codes for bronchoscopy procedures
This range includes codes for various bronchoscopy procedures, focusing on the specific bronchus or lung lobe involved.
CPT codes for bronchoscopy procedures
These codes cover diagnostic and therapeutic bronchoscopy procedures, including ancillary services like EBUS and navigation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| 0BC68ZZ | Extirpation of matter from right lower lobe bronchus, via natural or artificial opening endoscopic | Use when performing a therapeutic bronchoscopy to remove obstructions from the right lower lobe bronchus. |
|
| 31622 | Diagnostic bronchoscopy | Use for diagnostic purposes when no therapeutic intervention is performed. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for bronchoscopy
Essential facts and insights about Bronchoscopy
Primary ICD-10-CM Codes for bronchoscopy
Decision Criteria
clinical Criteria
- Presence of mucus plugs or foreign body in the right lower lobe bronchus
documentation Criteria
- Detailed procedure note specifying bronchus and material
Applicable To
- Removal of mucus plugs
- Foreign body removal
Excludes
- Irrigation procedures
Clinical Validation Requirements
- Documentation of specific bronchus involved
- Description of material removed
Code-Specific Risks
- Incorrectly coding as lung procedure
- Omitting specific bronchus documentation
Coding Notes
- Ensure documentation specifies the bronchus and material removed.
31622 - Diagnostic bronchoscopy
Use for diagnostic purposes when no therapeutic intervention is performed.
Applicable To
- Basic visualization
- Fluoroscopy
Excludes
- Therapeutic procedures
Clinical Validation Requirements
- Indication for diagnostic evaluation
- Findings documented
Coding Notes
Ensure the procedure is purely diagnostic without therapeutic intent.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Computer-assisted navigation for bronchoscopy
31627Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bronchoscopy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0BC68ZZ.
Impact
Clinical: Inaccurate clinical records, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues
Mitigation Strategy
Review procedure notes for completeness, Use templates to ensure all elements are documented
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Potential audit flags, Data Quality: Inaccurate clinical data
Mitigation Strategy
Ensure documentation specifies whether the procedure is endobronchial or transbronchial.
Impact
Misclassification of bronchial procedures as lung procedures.
Mitigation Strategy
Educate staff on the importance of specifying bronchus vs. lung in documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Bronchoscopy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bronchoscopy
Use these documentation templates to ensure complete and accurate documentation for Bronchoscopy. These templates include all required elements for proper coding and billing.
Therapeutic bronchoscopy for mucus plug removal
Specialty: PulmonologyRequired Elements
- Procedure indication
- Bronchus involved
- Material removed
- Complications
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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