transbronchial lung biopsies

kelleywalrath

We have gone through 3 coding supervisors since my time here and they all have said different things re what documentation is required to capture code for TBLBx. Our trainers say dr. must document tlbx AND path report must show alveolar, parenchymal, or lung tissue. if not successful, or if bronchial mucosa is only obtained, evenn though attempt was made, we do not have a reimbursable procedure.

now i am hearing just making an attempt is enough.

does any have a coding clinic on this? also if they say endobronchial is that reimbursable?

Kelley Walrath
Munroe Regional
Ocala, Fl

kshumpert

There is a coding clinic to refer to. Coding Clinic second quarter 2009 pg 16, 17. We had a chart with a transbronchial biopsy that was requested by our RAC. They used the above coding clinic as their reference. What if the path report isn't back yet? I believe that the documentation must include transbronchial biopsy and the use of fluoroscopy because it is not biopsy by direct visualization.

Kathy Shumpert, RN, BSN

Clinical Documentation Improvement Specialist
Howard Regional Health System
Office 765-864-8754
Pager 765-604-0424
Fax 765-453-8152

Proofread carefully to see if you any words out. ~Author Unknown

kelleywalrath

Thanks Kathy,

I pulled the CC and think I understand now.

Kelley