CPT® Code 31635

A bronchoscopy, as described by CPT® Code 31635, is a medical procedure that involves the insertion of a bronchoscope, which can be either rigid or flexible, through the patient's nose or mouth. This instrument is advanced into the oropharynx, allowing for a thorough examination of the airway structures. The procedure may include fluoroscopic guidance, which utilizes real-time imaging to assist in navigating the bronchoscope and ensuring accurate placement. During the bronchoscopy, the physician examines the oropharynx and visualizes the vocal cords, which are critical for assessing airway patency and function. The bronchoscope is then advanced into the trachea, where the physician can inspect the tracheal walls and any potential obstructions. Following this, the bronchoscope is further advanced into each mainstem bronchus, allowing for a detailed examination of the bronchial passages. If a rigid bronchoscope is utilized, a telescope or flexible bronchoscope may be inserted through it to enhance visualization of the distal segments of the mainstem bronchi. The primary objective of this procedure is to locate and remove any foreign body that may be obstructing the airway. Once the foreign body is identified, specialized extraction forceps are employed to grasp and remove the object. After the extraction, the bronchus is re-examined to ensure that no remnants of the foreign body remain, thereby confirming the success of the procedure and the restoration of airway integrity.