2022 Coding & Payment Quick Reference - Boston Scientific

2022 Coding & Payment Quick Reference

Lung and Airway Management Coding Guide

Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding or site of service requirements. The coding options

listed within this guide are commonly used codes and are not intended to be an all-inclusive list. We recommend consulting your relevant manuals for

appropriate coding options.

The following codes are thought to be relevant to airway management procedures and are referenced throughout this guide. All rates shown are 2022

Medicare national average payments. Actual reimbursement will vary for each provider and institution for a variety of reasons including

geographic difference in labor and non-labor costs, hospital teaching status, and/or proportion of low-income patients. On average, private payers pay

more than Medicare.5

Please note: this coding information may include codes for procedures for which Boston Scientific currently offers no cleared or approved products. In

those instances, such codes have been included solely in the interest of providing users with comprehensive coding information and are not intended to

promote the use of any Boston Scientific products for which they are not cleared or approved, including the EXALT? Model B.

Bedside Bronchoscopy and Airway Management

CPT? Code1

Code Description

Work RVUs2

Medicare National

Physician Payment CY

2022 (In-Facility)?,2

Bronchial Alveolar Lavage, Therapeutic Aspiration, Endobronchial Biopsy and Airway Inspection

31615

Tracheobronchoscopy through established tracheostomy incision

1.84

$117

31622

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed;

diagnostic, with cell washing, when performed (separate procedure)

2.53

$133

31623

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed;

with brushing or protected brushings

2.63

$134

31624

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed;

with bronchial alveolar lavage

2.63

$135

31625

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed;

with bronchial or endobronchial biopsy(s), single or multiple sites

3.11

$158

31645

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed;

with therapeutic aspiration of tracheobronchial tree, initial

2.88

$148

31646

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed;

with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay

2.78

$143

ICD-10

Description

0B9C8ZX

Drainage of Right Upper Lung Lobe, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B9C8ZZ

Drainage of Right Upper Lung Lobe, Via Natural or Artificial Opening Endoscopic

0B9D8ZX

Drainage of Right Middle Lung Lobe, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B9D8ZZ

Drainage of Right Middle Lung Lobe, Via Natural or Artificial Opening Endoscopic

0B9F8ZX

Drainage of Right Lower Lung Lobe, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B9F8ZZ

Drainage of Right Lower Lung Lobe, Via Natural or Artificial Opening Endoscopic

0B9G8ZX

Drainage of Left Upper Lung Lobe, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B9G8ZZ

Drainage of Left Upper Lung Lobe, Via Natural or Artificial Opening Endoscopic

0B9H8ZX

Drainage of Lung Lingula, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B9H8ZZ

Drainage of Lung Lingula, Via Natural or Artificial Opening Endoscopic

0B9J8ZX

Drainage of Left Lower Lung Lobe, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B9J8ZZ

Drainage of Left Lower Lung Lobe, Via Natural or Artificial Opening Endoscopic

0B9K8ZX

Drainage of Right Lung, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B9K8ZZ

Drainage of Right Lung, Via Natural or Artificial Opening Endoscopic

0B9L8ZX

Drainage of Left Lung, Via Natural or Artificial Opening Endoscopic, Diagnostic

1

0B9L8ZZ

Drainage of Left Lung, Via Natural or Artificial Opening Endoscopic

0B9M8ZX

Drainage of Bilateral Lungs, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B9M8ZZ

Drainage of Bilateral Lungs, Via Natural or Artificial Opening Endoscopic

0BB28ZX

Excision of Carina, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BB38ZX

Excision of Right Main Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BB48ZX

Excision of Right Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BB58ZX

Excision of Right Middle Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BB68ZX

Excision of Right Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BB78ZX

Excision of Left Main Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BB88ZX

Excision of Left Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BB98ZX

Excision of Lingula Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BBB8ZX

Excision of Left Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BD38ZX

Extraction of Right Main Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BD48ZX

Extraction of Right Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BD58ZX

Extraction of Right Middle Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BD68ZX

Extraction of Right Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BD78ZX

Extraction of Left Main Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BJ08ZZ

Inspection of Tracheobronchial Tree, Via Natural or Artificial Opening Endoscopic

0BJ18ZZ

Inspection of Trachea, Via Natural or Artificial Opening Endoscopic

0BJK8ZZ

Inspection of Right Lung, Via Natural or Artificial Opening Endoscopic

0BJL8ZZ

Inspection of Left Lung, Via Natural or Artificial Opening Endoscopic

MS-DRG

Description

Hospital Inpatient Medicare

National Average Payment4

Non-OR procedures - do not affect the MS-DRG

CPT? Code1

Code Description

will vary by diagnosis

and clinical situation

Work RVUs2

Medicare National

Physician Payment CY

2022 (In-Facility)?,2

3.00

$144

Emergency Intubation

31500

Intubation, endotracheal, emergency procedure

Percutaneous Tracheostomy

31600

Tracheostomy, planned (separate procedure);

5.56

$312

31601

Tracheostomy, planned (separate procedure); younger than 2 years

8.00

$457

31603

Tracheostomy, emergency procedure; transtracheal

6.00

$327

31605

Tracheostomy, emergency procedure; cricothyroid membrane

6.45

$340

ICD-10

Description

0B113F4

Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Approach

0B114F4

Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Endoscopic Approach

Hospital Inpatient Medicare National

Average Payment4

MS-DRG

Description

003

ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face, Mouth and Neck with

Major O.R.

$125,988

004

Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major

O.R.

$78,621

011

Tracheostomy for Face, Mouth, and Neck Diagnoses or Laryngectomy with MCC

$33,113

012

Tracheostomy for Face, Mouth, and Neck Diagnoses or Laryngectomy with CC

$25,275

013

Tracheostomy for Face, Mouth, and Neck Diagnoses or Laryngectomy without CC/MCC

$17,962

166

Other Respiratory System O.R. Procedures with MCC

$24,554

167

Other Respiratory System O.R. Procedures with CC

$11,993

168

Other Respiratory System O.R. Procedures without CC/MCC

$8,931

2

Thoracic Surgery

2022 Medicare National Average Payment?,2,3

CPT? Code1

Code Description

MPFS

32096

Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge,

incisional), unilateral

$814

Inpatient only

32097

Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es)

(eg, wedge, incisional), unilateral

$816

Inpatient only

32098

Thoracotomy, with biopsy(ies) of pleura

$773

Inpatient only

32100

Thoracotomy; with exploration

$825

Inpatient only

32601

Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac,

mediastinal or pleural space, without biopsy

$312

5361

Thoracoscopy

$5,168?

N/A

32604

Thoracoscopy, diagnostic (separate procedure); pericardial sac, with

biopsy

$486

5361

Thoracoscopy

$5,168?

N/A

32606

Thoracoscopy, diagnostic (separate procedure); mediastinal space, with

biopsy

$469

5361

Thoracoscopy

$5,168?

N/A

32607

Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge,

incisional), unilateral

$312

5361

Thoracoscopy

$5,168?

N/A

32608

Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es)

(eg, wedge, incisional), unilateral

$384

5361

Thoracoscopy

$5,168?

N/A

32609

Thoracoscopy; with biopsy(ies) of pleura

$260

5361

Thoracoscopy

$5,168?

N/A

APC

APC Description

APC Rate

ASC

Diagnostic

Excision

32110

Thoracotomy; with control of traumatic hemorrhage and/or repair of lung

tear

32120

Thoracotomy; for postoperative complications

32140

$1,502

Inpatient only

$889

Inpatient only

Thoracotomy; with cyst(s) removal, includes pleural procedure when

performed

$1,008

Inpatient only

32501

Thoracotomy; with resection-plication of bullae, includes any pleural

procedure when performed

$246

Inpatient only

32150

Thoracotomy; with removal of intrapleural foreign body or fibrin deposit

$1,030

Inpatient only

32151

Thoracotomy; with removal of intrapulmonary foreign body

$1,023

Inpatient only

32160

Thoracotomy; with cardiac massage

$812

Inpatient only

32440

Removal of lung, pneumonectomy

$1,598

Inpatient only

32442

Removal of lung, pneumonectomy; with resection of segment of trachea

followed by broncho-tracheal anastomosis (sleeve pneumonectomy)

$3,100

Inpatient only

32445

Removal of lung, pneumonectomy; extrapleural

$3,582

Inpatient only

32480

Removal of lung, other than pneumonectomy; single lobe (lobectomy)

$1,507

Inpatient only

32482

Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy)

$1,613

Inpatient only

32484

Removal of lung, other than pneumonectomy; single segment

(segmentectomy)

$1,460

Inpatient only

32486

Removal of lung, other than pneumonectomy; with circumferential

resection of segment of bronchus followed by broncho-bronchial

anastomosis (sleeve lobectomy)

$2,376

Inpatient only

32488

Removal of lung, other than pneumonectomy; with all remaining

lung following previous removal of a portion of lung (completion

pneumonectomy)

$2,428

Inpatient only

32491

Removal of lung, other than pneumonectomy; with resection-plication

of emphysematous lung(s) (bullous or non-bullous) for lung volume

reduction, sternal split or transthoracic approach, includes any pleural

procedure, when performed

$1,498

Inpatient only

+32501

Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in

addition to code for primary procedure)

$246

Inpatient only

32505

Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial

$949

Inpatient only

+32506

Thoracotomy; with therapeutic wedge resection (eg, mass or nodule),

each additional resection, ipsilateral (List separately in addition to code

for primary procedure)

$159

Inpatient only

3

+32507

Thoracotomy; with diagnostic wedge resection followed by anatomic

lung resection (List separately in addition to code for primary procedure)

$159

Inpatient only

32650

Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)

$680

Inpatient only

32651

Thoracoscopy, surgical; with partial pulmonary decortication

$1,115

Inpatient only

32652

Thoracoscopy, surgical; with total pulmonary decortication, including

intrapleural pneumonolysis

$1,690

Inpatient only

32653

Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin

deposit

$1,079

Inpatient only

32654

Thoracoscopy, surgical; with control of traumatic hemorrhage

$1,185

Inpatient only

32655

Thoracoscopy, surgical; with resection-plication of bullae, includes any

pleural procedure when performed

$973

Inpatient only

32656

Thoracoscopy, surgical; with parietal pleurectomy

$819

Inpatient only

32658

Thoracoscopy, surgical; with removal of clot or foreign body from

pericardial sac

$728

Inpatient only

32659

Thoracoscopy, surgical; with creation of pericardial window or partial

resection of pericardial sac for drainage

$746

Inpatient only

32661

Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass

$814

Inpatient only

32662

Thoracoscopy, surgical; with excision of mediastinal cyst, tumor or mass

$909

Inpatient only

32663

Thoracoscopy, surgical; with lobectomy (single lobe)

$1,422

Inpatient only

32664

Thoracoscopy, surgical; with thoracic sympathectomy

32665

Thoracoscopy, surgical; with esophagomyotomy (Heller type)

32666

$863

Inpatient only

$1,252

Inpatient only

Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass,

nodule), initial, unilateral

$886

Inpatient only

+32667

Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass,

nodule), each additional resection, ipsilateral (List separately in addition

to code for primary procedure)

$159

Inpatient only

+32668

Thoracoscopy, surgical; with diagnostic wedge resection followed by

anatomic lung resection (List separately in addition to code for primary

procedure)

$160

Inpatient only

ICD-10

Description

01B30ZZ

Excision of Brachial Plexus, Open Approach

01BL0ZZ

Excision of Thoracic Sympathetic Nerve, Open Approach

01BL4ZZ

Excision of Thoracic Sympathetic Nerve, Percutaneous Endoscopic Approach

02BN4ZX

Excision of Pericardium, Percutaneous Endoscopic Approach, Diagnostic

02BN4ZZ

Excision of Pericardium, Percutaneous Endoscopic Approach

02CN4ZZ

Extirpation of Matter from Pericardium, Percutaneous Endoscopic Approach

02QN4ZZ

Repair Pericardium, Percutaneous Endoscopic Approach

07B74ZZ

Excision of Thorax Lymphatic, Percutaneous Endoscopic Approach

07TM4ZZ

Resection of Thymus, Percutaneous Endoscopic Approach

0B5C3ZZ

Destruction of Right Upper Lung Lobe, Percutaneous Approach

0B5D3ZZ

Destruction of Right Middle Lung Lobe, Percutaneous Approach

0B5F3ZZ

Destruction of Right Lower Lung Lobe, Percutaneous Approach

0B5G3ZZ

Destruction of Left Upper Lung Lobe, Percutaneous Approach

0B5H3ZZ

Destruction of Lung Lingula, Percutaneous Approach

0B5J3ZZ

Destruction of Left Lower Lung Lobe, Percutaneous Approach

0B5K3ZZ

Destruction of Right Lung, Percutaneous Approach

0B5L3ZZ

Destruction of Left Lung, Percutaneous Approach

0B5M3ZZ

Destruction of Bilateral Lungs, Percutaneous Approach

0B5N3ZZ

Destruction of Right Pleura, Percutaneous Approach

0B5N4ZZ

Destruction of Right Pleura, Percutaneous Endoscopic Approach

0B5P3ZZ

Destruction of Left Pleura, Percutaneous Approach

0B5P4ZZ

Destruction of Left Pleura, Percutaneous Endoscopic Approach

4

0B9C00Z

Drainage of Right Upper Lung Lobe with Drainage Device, Open Approach

0B9C0ZZ

Drainage of Right Upper Lung Lobe, Open Approach

0B9D00Z

Drainage of Right Middle Lung Lobe with Drainage Device, Open Approach

0B9D0ZZ

Drainage of Right Middle Lung Lobe, Open Approach

0B9F00Z

Drainage of Right Lower Lung Lobe with Drainage Device, Open Approach

0B9F0ZZ

Drainage of Right Lower Lung Lobe, Open Approach

0B9G00Z

Drainage of Left Upper Lung Lobe with Drainage Device, Open Approach

0B9G0ZZ

Drainage of Left Upper Lung Lobe, Open Approach

0B9H00Z

Drainage of Lung Lingula with Drainage Device, Open Approach

0B9H0ZZ

Drainage of Lung Lingula, Open Approach

0B9J00Z

Drainage of Left Lower Lung Lobe with Drainage Device, Open Approach

0B9J0ZZ

Drainage of Left Lower Lung Lobe, Open Approach

0B9K00Z

Drainage of Right Lung with Drainage Device, Open Approach

0B9K0ZZ

Drainage of Right Lung, Open Approach

0B9N0ZZ

Drainage of Right Pleura, Open Approach

0B9P0ZZ

Drainage of Left Pleura, Open Approach

0BB10ZZ

Excision of Trachea, Open Approach

0BB30ZZ

Excision of Right Main Bronchus, Open Approach

0BB70ZZ

Excision of Left Main Bronchus, Open Approach

0BBC0ZX

Excision of Right Upper Lung Lobe, Open Approach, Diagnostic

0BBC0ZZ

Excision of Right Upper Lung Lobe, Open Approach

0BBC4ZX

Excision of Right Upper Lung Lobe, Percutaneous Endoscopic Approach, Diagnostic

0BBC4ZZ

Excision of Right Upper Lung Lobe, Percutaneous Endoscopic Approach

0BBD0ZX

Excision of Right Middle Lung Lobe, Open Approach, Diagnostic

0BBD0ZZ

Excision of Right Middle Lung Lobe, Open Approach

0BBD4ZX

Excision of Right Middle Lung Lobe, Percutaneous Endoscopic Approach, Diagnostic

0BBD4ZZ

Excision of Right Middle Lung Lobe, Percutaneous Endoscopic Approach

0BBF0ZX

Excision of Right Lower Lung Lobe, Open Approach, Diagnostic

0BBF0ZZ

Excision of Right Lower Lung Lobe, Open Approach

0BBF4ZX

Excision of Right Lower Lung Lobe, Percutaneous Endoscopic Approach, Diagnostic

0BBF4ZZ

Excision of Right Lower Lung Lobe, Percutaneous Endoscopic Approach

0BBG0ZX

Excision of Left Upper Lung Lobe, Open Approach, Diagnostic

0BBG0ZZ

Excision of Left Upper Lung Lobe, Open Approach

0BBG4ZX

Excision of Left Upper Lung Lobe, Percutaneous Endoscopic Approach, Diagnostic

0BBG4ZZ

Excision of Left Upper Lung Lobe, Percutaneous Endoscopic Approach

0BBH0ZX

Excision of Lung Lingula, Open Approach, Diagnostic

0BBH0ZZ

Excision of Lung Lingula, Open Approach

0BBH4ZX

Excision of Lung Lingula, Percutaneous Endoscopic Approach, Diagnostic

0BBH4ZZ

Excision of Lung Lingula, Percutaneous Endoscopic Approach

0BBJ0ZX

Excision of Left Lower Lung Lobe, Open Approach, Diagnostic

0BBJ0ZZ

Excision of Left Lower Lung Lobe, Open Approach

0BBJ4ZX

Excision of Left Lower Lung Lobe, Percutaneous Endoscopic Approach, Diagnostic

0BBJ4ZZ

Excision of Left Lower Lung Lobe, Percutaneous Endoscopic Approach

0BBK0ZX

Excision of Right Lung, Open Approach, Diagnostic

0BBK0ZZ

Excision of Right Lung, Open Approach

0BBK4ZX

Excision of Right Lung, Percutaneous Endoscopic Approach, Diagnostic

0BBK4ZZ

Excision of Right Lung, Percutaneous Endoscopic Approach

0BBL0ZX

Excision of Left Lung, Open Approach, Diagnostic

0BBL0ZZ

Excision of Left Lung, Open Approach

0BBL4ZX

Excision of Left Lung, Percutaneous Endoscopic Approach, Diagnostic

0BBL4ZZ

Excision of Left Lung, Percutaneous Endoscopic Approach

0BBM0ZX

Excision of Bilateral Lungs, Open Approach, Diagnostic

0BBM0ZZ

Excision of Bilateral Lungs, Open Approach

5

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