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Bronchoscopy thru Tracheostomy with EBUS

Could use some help. Did a Diagnostic Bronchoscopy thru a tracheostomy tube, L&R mainstem bronchus & trachea viewed. EBUS was used to review the lesion. Thinking of 31615 but then EBUS can’t be coded because there is no primary code. CPT 31622 is a bronchoscopy but not thru the tracheostomy tube. Is the hospital to code only 31615. Thoughts? Thanks Buttercup

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Reporting Endobronchial Ultrasound (EBUS)

Endobronchial ultrasound (EBUS) combines a bronchoscope with ultrasound to visualize the bronchi and adjacent structures, and to obtain tissue for biopsy. Sampling by EBUS differs from transbronchial lung biopsy(s) (+31632) or transbronchial needle aspiration biopsy(s) (+31633), neither of which includes an ultrasound component. Two codes describe EBUS to obtain transtrtacheal and transbronchial sampling: 31652 Bronchoscopy, […]
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