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The procedure described by CPT® Code 31625 involves the use of a bronchoscope, which can be either rigid or flexible, to perform a detailed examination of the airways. This procedure includes the use of fluoroscopic guidance when necessary. The bronchoscope is inserted through the patient's nose or mouth and is carefully advanced into the oropharynx, allowing for a thorough examination of this area. During the procedure, the vocal cords are visualized and assessed for any abnormalities. Following this initial examination, the bronchoscope is further advanced into the trachea, which is also inspected for any irregularities. The scope is then maneuvered into each mainstem bronchus, where any identified abnormalities can be documented. In cases where a rigid bronchoscope is utilized, a telescope or flexible bronchoscope may be introduced through the rigid bronchoscope to enhance visualization of the distal segments of the mainstem bronchi. The procedure culminates in the collection of tissue samples from the bronchial or endobronchial regions using biopsy forceps, allowing for single or multiple biopsies to be performed as needed. This comprehensive approach aids in diagnosing various pulmonary conditions by obtaining tissue samples for further analysis.
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