CPT 30,000 Series - Respiratory System Surgery Flashcards
(19 cards)
Nose code range
30,000 Series
Sinuses code range
31,000 to 31,200
Larynx code range
31,300 to 31,500
Trachea and Bronchi code range
31,600 to 31,800
Lungs code range
32,000 Series
Laterality of N/S endoscopies
Unilateral unless otherwise specified
Two procedures packaged with SURGICAL endoscopy
Diagnostic endoscopy and sinusotomy (sinus incision)
DIAGNOSTIC endoscopy needs these four structures to be inspected
Nasal cavity
Middle and superior meatus
Turbinates
Spheno-ethmoid proces
When there is an incomplete inspection for diagnostic endoscopy, what should you ask next?
Will there be a repeat exam?
Repeat exam is SET after incomplete diagnostic endoscopy. What modifier is appended?
MOD-53 : Discontinued Procedure
Repeat exam is NOT SET/PLANNED after incomplete diagnostic endoscopy. What modifier is appended?
MOD-52 : Reduced Services
For laryngoscopy, these two factors will matter for coding
Type of scope and
If it’s for diagnostic or surgical purposes
Types of scope for laryngoscopy
Indirect
Direct
Flexible
When are “separate procedures” coded? [2]
[1] Independently done
[2] Unrelated/distinct procedure
How should a “separate procedure” be coded if it’s a “distinct/unrelated” procedure?
[1] First procedure +
[2] “Separate procedure”-59
The six different EXCISION PROCEDURES performed on the lungs?
- Biopsy
- Wedge resection
- Segmentectomy
- Lobectomy
- Bilobectomy
- Pneumonectomy
Two APPROACHES to excision procedures on the longs
- Open (Thoracotomy)
- VATS (Thoracoscopy/endoscopy)
What would be coded if extension of excision is done after an intraoperative biopsy?
Extended excision code
