CPT® Code 71060

Deleted

1. Indications

Bronchography is indicated for the evaluation of various conditions affecting the lower respiratory tract. The following are specific indications for performing this procedure:

• Assessment of Structural Abnormalities - Bronchography is utilized to identify and evaluate structural abnormalities within the larynx, trachea, and bronchi, which may include tumors, strictures, or congenital malformations.
• Investigation of Infections - The procedure can help in diagnosing infections that may affect the lower respiratory tract, such as bronchitis or pneumonia, by providing detailed images of the affected areas.
• Evaluation of Foreign Bodies - Bronchography is indicated when there is a suspicion of foreign body aspiration, allowing for visualization of the airway and identification of any obstructive materials.
• Preoperative Planning - This procedure may be performed as part of the preoperative assessment for patients undergoing surgical interventions in the lower respiratory tract, ensuring that the anatomy is well understood prior to surgery.

2. Procedure

The bronchography procedure involves several key steps that ensure accurate imaging of the lower respiratory tract. The following outlines the procedural steps:

• Step 1: Patient Preparation - The patient is positioned appropriately, typically in a supine position, to facilitate access to the airway. Pre-procedural assessments are conducted to ensure the patient is suitable for the procedure.
• Step 2: Anesthesia Administration - Local anesthesia may be administered to minimize discomfort during the procedure. In some cases, sedation may also be provided to help the patient remain calm and still.
• Step 3: Catheter or Bronchoscope Insertion - A catheter or bronchoscope is carefully inserted through the patient's nose or mouth, advancing through the throat and into the trachea and bronchi. This step requires precision to avoid trauma to the airway.
• Step 4: Contrast Injection - Once the catheter or bronchoscope is in place, a contrast agent is injected. This contrast media coats the lining of the lower respiratory tract, enhancing the visibility of the structures during imaging.
• Step 5: Radiological Imaging - The physician supervises the acquisition of radiographs as the contrast is injected. Multiple images may be taken from different angles to ensure comprehensive visualization of the anatomy.
• Step 6: Interpretation of Results - After the imaging is completed, the physician reviews the radiographs, analyzing the images for any abnormalities or issues. A written interpretation of the findings is then documented for further clinical use.

3. Post-Procedure

Following the bronchography procedure, patients are typically monitored for any immediate complications or adverse reactions to the contrast media. It is essential to observe the patient for signs of respiratory distress or allergic reactions. Patients may experience mild discomfort or a sore throat due to the insertion of the catheter or bronchoscope. Recovery time can vary, but most patients are able to resume normal activities shortly after the procedure, depending on their overall health and any sedation used. The physician will provide specific post-procedure care instructions, including any necessary follow-up appointments to discuss the results of the bronchography and any further diagnostic or therapeutic steps that may be required.