CPT® Code 31632

Add-On Code

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), each additional lobe (List separately in addition to code for primary procedure)

The CPT® Code 31632 refers to a bronchoscopy procedure, which can be performed using either a rigid or flexible bronchoscope. This procedure involves the insertion of the bronchoscope through the patient's nose or mouth, allowing access to the oropharynx, where an examination is conducted. The vocal cords are visualized during this process, and the bronchoscope is then advanced into the trachea for further examination. Following this, the bronchoscope is maneuvered into each mainstem bronchus, where any abnormalities can be identified and noted. In cases where a rigid bronchoscope is utilized, a telescope or flexible bronchoscope may be inserted through it to facilitate visualization of the distal segments of the mainstem bronchi. The procedure includes the use of specialized transbronchial biopsy forceps, which are passed through the bronchoscope to collect tissue samples from the outer regions of the lung. Importantly, this code is specifically used to report the collection of one or more tissue samples from each additional lobe of the lung, following the primary tissue sample(s) taken from the first lobe, which is reported separately. This detailed description underscores the complexity and precision involved in performing a bronchoscopy with transbronchial lung biopsy, highlighting its significance in diagnosing and managing pulmonary conditions.