Certified Coding Specialist (CCS) Practice Exam

Question: 1 / 400

What signifies the need for additional coding during bronchoscopy?

The complexity of the procedure

When multiple lobes are biopsied

The need for additional coding during bronchoscopy is often signified when multiple lobes are biopsied. This is important because coding guidelines typically require that each distinct area that is biopsied be documented and coded separately. When a single lobe is biopsied, it may be captured under a specific code for a bronchoscopy with biopsy. However, when multiple lobes are involved, additional codes come into play to accurately reflect the complexity and extent of the procedure. This ensures that the healthcare provider is appropriately compensated for the additional work and resources involved in the procedure.

While the complexity of the procedure may influence coding, it does not directly necessitate additional coding unless it specifically relates to multiple lobes being biopsied. Similarly, sedation does not inherently result in additional coding unless it impacts the type or extent of the procedure performed. Patient history may inform the medical necessity of the procedure but does not determine the coding requirements directly. Therefore, the requirement for additional coding is clearly connected to the biopsy of multiple lobes during bronchoscopy.

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When sedation is used

Based on patient history

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