CPT® Code 0782T

Bronchoscopy, rigid or flexible, with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves, including fluoroscopic guidance when performed; unilateral mainstem bronchus

The procedure described by CPT® Code 0782T involves a bronchoscopy, which can be either rigid or flexible, combined with the insertion of an esophageal protection device and the circumferential radiofrequency destruction of the pulmonary nerves. This procedure is specifically performed on the unilateral mainstem bronchus and includes fluoroscopic guidance when applicable. The primary aim of this intervention is to treat moderate to severe cases of Chronic Obstructive Pulmonary Disease (COPD) by targeting the neural pathways that contribute to lung hyperactivity. By utilizing endoscopic techniques, the procedure allows for the precise ablation of the vagal nerves, which play a significant role in regulating lung function. The use of a bronchoscope facilitates direct access to the airways, enabling the physician to perform the necessary interventions while minimizing potential complications. The incorporation of fluoroscopic guidance enhances the accuracy of the procedure, ensuring that the ablation is performed safely and effectively, with careful monitoring of the proximity to the esophagus to avoid any adverse effects.