Respiratory System CPT

Endoscopy is listed through-out, NOT at the end.

Pharynx/Mouth is digestive

Some codes are partially cosmetic​

​Important Respiratory Notes

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​Code to the furthest extent

​May start at the nose, but end at the bronchus

Passing a scope through the mouth, into the trachea to view and examine the larynx, and then continuing on to the bronchus would be coded as a bronchoscopy​

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​Code the correct approach

thoracoscopy is with a scope (closed)

Thoracotomy is incision into the chest (open)​

Intranasal procedures may or may not need a scope!​

​Locating endoscopy procedures - index

You can look under ENDOSCOPY

or you can look under the anatomic TYPE of endoscopy (Bronchoscopy, Thoracoscopy, Sinusoscopy, Tracheoscopy, Laryngoscopy​

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Code:

endoscopic maxillary antrostomy

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Code:

Direct Laryngoscopy for removal of fish bone

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Code:

Segmental Resection of the right single lung lobe using a flexible endoscope (thoracoscopy)

​The NOSE

An abscess that is drained from the outside of the nose should be coded in the integumentary section (see 10060)

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The same applies to nose biopsies on the outside of the nose rather than intranasally

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Displacement therapy = saline flush of mucus​

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Epistaxis = nosebleed Therapeutic fracture is NOT a diagnosis​

Subject | Subject

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Code both:

Biopsy of an intranasal lesion

CPT: ______

ICD-10-CM _______

separate answers with a comma and one space

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Primary rhinoplasty including major septal repair due to deviated nasal septum

CPT _____

ICD-10-CM ______

separate codes with a comma and one space

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Pterygomaxillary fossa surgery, transfacial approach, due to chronic antritis of maxillary sinus

CPT_____

ICD10____

comma and one space

​Don't forget modifers -RT -LT and -50

Where applicable​

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emergency establishment of positive airway by means of endotracheal intubation

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Emergency tracheostomy, crycothyroid approach

​Lungs and Pleura

​Thoracocentesis

May be performed with or without a chest tube that stays in place​

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Resection of an apical malignant lung neoplasm

CPT________

ICD10______

comma and one space to separate

Draw

How do you feel now that this lesson is OVER?