CPT® Code 31640

A bronchoscopy, as described by CPT® Code 31640, 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, assessing them for any abnormalities. The bronchoscope is then further advanced into the trachea, where the airway is inspected, and subsequently into each mainstem bronchus. If a rigid bronchoscope is employed, a telescope or flexible bronchoscope can be inserted through it to enhance visualization of the distal segments of the mainstem bronchi. The primary objective of this procedure is to excise a tumor that has been identified during the examination. Once the tumor is visualized, specialized surgical instruments and a suction catheter are introduced through the bronchoscope to facilitate the excision of the tumor, ensuring that the procedure is performed safely and effectively.