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The procedure described by CPT® Code 0252T involves the removal of bronchial valves using either a rigid or flexible bronchoscope, which is a specialized instrument designed for visualizing the airways. Bronchial valves are devices implanted in the bronchial passages to manage conditions such as obstructive lung diseases. However, complications or a lack of patient benefit may necessitate their removal. The bronchoscope is inserted through the patient's nose or mouth and navigated through the oropharynx and trachea, ultimately reaching the mainstem bronchus, which branches into the right and left lungs. Fluoroscopic guidance may be utilized during this procedure to enhance visualization and ensure accurate placement of the bronchoscope. Once the bronchoscope is positioned in the segmental or subsegmental bronchus where the valve is located, the valve and its surrounding structures are carefully examined. The central rod of the valve is then grasped with biopsy forceps, which facilitates the collapse of the valve, allowing for its removal. After the valve is extracted, the bronchoscope is reinserted to inspect the bronchial area for any signs of injury or complications. Finally, the bronchoscope is withdrawn, and a thorough examination of the bronchi, trachea, and oropharynx is conducted to ensure the patient's airways are clear and free of any obstructions.
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The procedure described by CPT® Code 0252T is indicated for patients who have bronchial valves that may be causing complications or are no longer providing a benefit to the patient. The specific indications for performing this procedure include:
The procedure for the removal of bronchial valves using CPT® Code 0252T involves several critical steps, which are detailed as follows:
Post-procedure care following the removal of bronchial valves includes monitoring the patient for any immediate complications, such as bleeding or respiratory distress. Patients may be observed for a period to ensure stable vital signs and adequate oxygenation. Instructions regarding activity restrictions and follow-up appointments may be provided to ensure proper recovery. Additionally, any findings from the procedure should be documented in the patient's medical record for future reference and continuity of care.
| Short Descr | REMOV BRONCH VALVE ADDL | Medium Descr | BRONCHOSCOPY REMOVAL BRONCH VALVE EA ADDL LOBE | Long Descr | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), each additional lobe (List separately in addition to code for primary procedure) | Status Code | Carriers Price the Code | Global Days | YYY - Carrier Determines Whether Global Concept Applies | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Discontinued Code | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. | CCS Clinical Classification | 41 - Other non-OR therapeutic procedures on respiratory system |
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