CPT® Code 31654

Add-On Code

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transendoscopic endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s) (List separately in addition to code for primary procedure[s])

The procedure described by CPT® Code 31654 involves the use of a bronchoscope, which can be either rigid or flexible, to examine the airways. This procedure is performed by inserting the bronchoscope through the patient's nose or mouth, allowing access to the oropharynx, trachea, and mainstem bronchi. Fluoroscopic guidance may be utilized during this process to enhance visualization. The primary goal of this procedure is to identify any abnormalities within the airways. In conjunction with the bronchoscopy, a specialized miniaturized ultrasound probe is introduced through a flexible bronchoscope that has a biopsy channel. This ultrasound probe is specifically designed for transendoscopic endobronchial ultrasound (EBUS) and is employed during a primary diagnostic or therapeutic bronchoscopic intervention aimed at peripheral lesions. The ultrasound probe evaluates the airway walls, mediastinum, and lung structures. Once positioned within the airway, the probe's balloon tip is inflated to ensure full contact with the airway wall, allowing for detailed ultrasonic imaging of the wall structures and surrounding mediastinum. The probe is then maneuvered along the airway to provide a comprehensive evaluation of the airway and adjacent anatomical structures.