Procedure: Fiberoptic bronchoscopy; Diagnosis: Hemoptysis with easily

Procedure: Fiberoptic bronchoscopy; Diagnosis: Hemoptysis with easily bruisable mucosa and bronchiectasis; Technique: The patient was brought to the endoscopy suite and placed on a stretcher. Oxygen was given via nasal cannula at 3 L/min. Local anesthetic lidocaine was given to anesthetize the upper airway. Because the nostrils had considerable blockage secondary to trauma, the oral route was used for the bronchoscopy. Following placement of a bite block and application of Cetacaine to the posterior pharynx, the fiberoptic bronchoscope was placed without difficulty into the upper airway. The epiglottis appeared somewhat prominent, but normal. In addition, the vocal cords appeared normal. The bronchoscope was passed easily through the cords into the trachea, which also appeared normal, although somewhat easily bruisable. The carina appeared normal. The right side was entered first. The right upper lobe and its subsegments were seen very clearly, and there appeared to be bronchiectasis. The 6-mm bronchoscope would go very easily into the subsegments. No mass lesions were seen. The bronchus intermedius, right middle lobe, lower lobe, and its subsegments also were entered; and, again bronchiectasis was noted. There appeared to be no abnormal mucosal lesions and no abnormal secretions; however, the bronchial tree was easily bruisable. The bronchoscope then was withdrawn to the carina and left side entered. The left main bronchus, upper lobe, lower lobe, and its subsegments were seen. There appeared to be an extrinsic compression of a subsegment of the left lower lobe; however, no mucosal lesions were seen and this area appeared pulsatile, which suggested extrinsic compression from the descending aorta. Once again, easily bruisability of the mucosa was noted. The bronchoscope was withdrawn. There were no apparent complications. What is/are the correct CPT code(s) that should be reported? SCIENCE HEALTH SCIENCE NURSING Hit 243

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