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Endoscopy Matrix CPT Description of Endoscopy Diagnostic Therapeutic Code (Surgical) 31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) X 31233 Nasal/sinus endoscopy, diagnostic with maxillary sinusoscopy (via X inferior meatus or canine fossa puncture) 31235 Nasal/sinus endoscopy, diagnostic with sphenoid sinusoscopy (via X puncture of sphenoidal face or cannulation of ostium) 31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or X debridement (separate procedure) 31238 Nasal/sinus endoscopy, surgical; with control of hemorrhage X 31239 Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy X 31240 Nasal/sinus endoscopy, surgical; with concha bullosa resection X 31241 Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery X 31253 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed 31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) X 31255 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior 31256 Nasal/sinus endoscopy, surgical; with maxillary antrostomy X 31257 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior), including sphenoidotomy 31259 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus 31267 Nasal/sinus endoscopy, surgical; with removal of tissue from maxillary X sinus 31276 Nasal/sinus endoscopy, surgical with frontal sinus exploration, with or X without removal of tissue from frontal sinus 31287 Nasal/sinus endoscopy, surgical, with sphenoidotomy X 31288 Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of X tissue from sphenoid sinus 31290 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; X ethmoid region 31291 Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; X sphenoid region 31292 Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall X decompression 31293 Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior X orbital wall decompression 31294 Nasal/sinus endoscopy, surgical; with optic nerve decompression X 31295 Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium, X transnasal or via canine fossa 31296 Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium X 31297 Nasal/sinus endoscopy, surgical; with dilation of spenoid sinus ostium X 31298 Nasal/sinus endoscopy, surgical; with dilation of frontal sphenoid sinus X osia (such as balloon dilation) 31505 Laryngoscopy, indirect; diagnostic (separate procedure) X 31510 Laryngoscopy, indirect; with biopsy X 31511 Laryngoscopy, indirect; with removal of foreign body X 31512 Laryngoscopy, indirect; with removal of lesion X 31513 Laryngoscopy, indirect; with vocal cord injection X 31515 Laryngoscopy, direct, with or without tracheoscopy; for aspiration X 31520 Laryngoscopy, direct, with or without tracheoscopy; diagnostic, newborn X 31525 Laryngoscopy, direct, with or without tracheoscopy; diagnostic, except X newborn 31526 Laryngoscopy, direct, with or without tracheoscopy; diagnostic, with X operating microscope Effective January 1, 2018 2 Endoscopy Matrix CPT Description of Endoscopy Diagnostic Therapeutic Code (Surgical) 31527 Laryngoscopy, direct, with or without tracheoscopy; with insertion of X obturator 31528 Laryngoscopy, direct, with or without tracheoscopy; with dilation, initial X 31529 Laryngoscopy, direct, with or without tracheoscopy; with dilation, X subsequent 31530 Laryngoscopy, direct, operative with foreign body removal X 31531 Laryngoscopy, direct, operative with foreign body removal; with X operating microscope 31535 Laryngoscopy, direct, operative, with biopsy X 31536 Laryngoscopy, direct, operative, with biopsy; with operating microscope X 31540 Laryngoscopy, direct, operative, with excision of tumor and/or stripping X of vocal cords or epiglottis 31541 Laryngoscopy, direct, operative, with excision of tumor and/or stripping X of vocal cords or epiglottis; with operating microscope 31545 Laryngoscopy, direct, operative, with operating microscope or X telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s) 31546 Laryngoscopy, direct, operative, with operating microscope or X telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with graft(s) (includes obtaining autograft) 31560 Laryngoscopy, direct, operative, with arythenoidectomy X 31561 Laryngoscopy, direct, operative, with arythenoidectomy; with operating X microscope 31570 Laryngoscopy, direct, with injection into vocal cord(s), therapeutic X 31571 Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with X operating microscope 31572 Laryngoscopy, flexible; with ablation or destruction of lesion(s) with X laser, unilateral 31573 Laryngoscopy, flexible; with therapeutic injection(s) (eg, X chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral 31574 Laryngoscopy, flexible; with injection(s) for augmentation (eg, X percutaneous, transoral), unilateral 31575 Laryngoscopy, flexible fiberoptic; diagnostic X 31576 Laryngoscopy, flexible fiberoptic; with biopsy X 31577 Laryngoscopy, flexible fiberoptic; with removal of foreign body X 31578 Laryngoscopy, flexible fiberoptic; with removal of lesion X 31579 Laryngoscopy, flexible or rigid fiberoptic, with stroboscopy X 31615 Tracheobronchoscopy through established tracheostomy incision X 31622 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, X diagnostic, with cell washing when performed (separate procedure) 31623 Bronchoscopy, rigid or flexible, with brushing or protected brushings X 31624 Bronchoscopy, rigid or flexible, with bronchial alveolar lavage X 31625 Bronchoscopy, rigid or flexible, with bronchial or endobronchial X biopsy(s), single or multiple sites 31626 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, X diagnostic, with placement of fiduciary markers, single or multiple 31627 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, X diagnostic, with computer assisted image guided navigation (List separately in addition to code for primary procedure) 31628 Bronchoscopy, rigid or flexible with transbronchial lung biopsy(s) single X lobe 31629 Bronchoscopy, rigid or flexible, with transbronchial needle aspiration X biopsy(s), trachea, main stem and/or lobar bronchus(i) 31630 Bronchoscopy, rigid or flexible, with tracheal/ bronchial dilation or closed X reduction of fracture 31631 Bronchoscopy, rigid or flexible with placement of tracheal stent(s) X Effective January 1, 2018 3 Endoscopy Matrix CPT Description of Endoscopy Diagnostic Therapeutic Code (Surgical) (includes tracheal/bronchial dilation as required) 31632 X Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), each additional lobe (list separately in addition to code for primary procedure) 31633 X Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), each additional lobe (list separately in addition to code for primary procedure) 31634 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when X performed; with balloon occlusion, with assessment of air leak, with administration of occlusive substance (for example fibrin glue), if performed procedure) 31635 Bronchoscopy, rigid or flexible, with removal of foreign body X 31636 Bronchoscopy, rigid or flexible, with placement of bronchial stent(s) X (includes tracheal/bronchial dilation as required), initial bronchus 31637 Bronchoscopy, rigid or flexible, each additional major bronchus stented X (list separately in addition to code for primary procedure) 31638 Bronchoscopy, rigid or flexible, with revision of tracheal or bronchial X stent inserted at previous session (includes tracheal/bronchial dilation as required) 31640 Bronchoscopy, rigid or flexible, with excision of tumor X 31641 Bronchoscopy, (rigid or flexible); with destruction of tumor or relief of X stenosis by any method other than excision (for example laser therapy, cryotherapy) 31643 Bronchoscopy, (rigid or flexible); with placement of catheter (s) for X intracavitary radioelement application 31645 Bronchoscopy, (rigid or flexible); with therapeutic aspiration of X thracheobronchial tree, initial (for example, drainage of lung abscess) 31646 Bronchoscopy, (rigid or flexible); with therapeutic aspiration of X tracheobronchial tree, subsequent 31647 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when X performed; with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion of bronchial valve(s), initial lobe 31648 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when X performed; with removal of bronchial valve(s), initial lobe 31649 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when X performed; with removal of bronchial valve(s), each additional lobe (List separately in addition to code for primary procedure) 31651 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when X performed; with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion
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