Question:

Can we separately report endoscopic procedures that are performed on two regions of the respiratory system with different types of endoscopes?

Answer:

Yes, both procedures may be separately reportable if they are medically reasonable and necessary. The Centers for Medicare & Medicaid Services give the following example.

If a patient requires diagnostic bronchoscopy for a lung mass with a fiberoptic bronchoscope and a separate laryngoscopy for a laryngeal mass with a fiberoptic laryngoscope at the same patient encounter, HCPCS/CPT® codes for both procedures may be reported separately. It must be medically reasonable and necessary to utilize two separate endoscopes to report both codes.


CPT® is a registered trademark of the American Medical Association

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CPT® copyright 2021 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.