CPT code 31635 is a procedure code used to describe a bronchoscopy with foreign body removal, aiding in standardized medical service documentation.
CPT code 31635 is used to describe a medical procedure known as bronchoscopy with foreign body removal. This procedure involves using a bronchoscope, which is a flexible or rigid tube equipped with a camera and light, to visually examine the airways and lungs. The primary purpose of this procedure under this specific code is to locate and remove any foreign objects that may have been inhaled or lodged within the bronchial tubes. This code is essential for healthcare providers to accurately document and bill for the service provided, ensuring proper reimbursement and maintaining detailed patient records.
For CPT code 31635, which involves bronchoscopy with foreign body removal, the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: Use this modifier if the procedure required significantly more effort or time than typically expected. This could be due to complications or unusual circumstances encountered during the bronchoscopy.
2. Modifier 50 - Bilateral Procedure: If the bronchoscopy with foreign body removal is performed bilaterally, this modifier should be applied to indicate that the procedure was conducted on both sides.
3. Modifier 51 - Multiple Procedures: When multiple procedures are performed during the same surgical session, this modifier is used to indicate that 31635 was one of several procedures.
4. Modifier 52 - Reduced Services: Apply this modifier if the procedure was partially reduced or not fully completed, yet still warranted reporting.
5. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that the bronchoscopy with foreign body removal was a distinct service from other procedures performed on the same day.
6. Modifier 76 - Repeat Procedure by Same Physician: If the procedure needs to be repeated by the same physician, this modifier is used to denote the repetition.
7. Modifier 77 - Repeat Procedure by Another Physician: Use this modifier if the procedure is repeated by a different physician.
8. Modifier 78 - Unplanned Return to the Operating/Procedure Room: If the patient needs to return to the operating room for a related procedure during the postoperative period, this modifier is applicable.
9. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This modifier is used if the bronchoscopy with foreign body removal is performed during the postoperative period of another procedure but is unrelated to the initial surgery.
10. Modifier 80 - Assistant Surgeon: If an assistant surgeon is required during the procedure, this modifier should be used to indicate their involvement.
These modifiers help provide additional context and specificity to the billing process, ensuring accurate reimbursement and documentation. Always verify payer-specific guidelines, as modifier usage can vary.
CPT code 31635 is reimbursed by Medicare, but its reimbursement is subject to several factors. The Medicare Physician Fee Schedule (MPFS) provides the payment rates for services covered under Medicare Part B, including those associated with CPT code 31635. The reimbursement amount can vary based on geographic location and other factors, as determined by the Medicare Administrative Contractor (MAC) responsible for processing claims in a specific region. It's essential for healthcare providers to verify the specific reimbursement details with their local MAC to ensure accurate billing and payment for services rendered under this CPT code.
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