CPT® Code 31647

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion of bronchial valve(s), initial lobe

Bronchoscopy, as described by CPT® Code 31647, is a medical procedure that involves the examination of the airways using a bronchoscope, which can be either rigid or flexible. This procedure is particularly significant for assessing the airways for size and identifying any air leaks. The bronchoscope is inserted through the mouth and navigated through the oropharynx and trachea, ultimately reaching the right or left mainstem bronchus. Fluoroscopic guidance may be utilized during this process to enhance visualization and accuracy. The procedure includes the use of balloon occlusion to assess air leaks and airway sizing, which is performed with a calibrated balloon catheter. This allows for the identification of airways that are contributing to the air leakage. Once the air leak is located, a bronchial valve can be inserted to manage the leak effectively. The procedure is comprehensive, involving careful evaluation of the bronchial structures and ensuring that any potential injuries are assessed before concluding the examination. The specific code 31647 is reported for the placement of the bronchial valve in the initial lobe, highlighting the procedural focus on addressing air leaks within the bronchial system.