Open Lung Biopsy: Difference between revisions

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{{DX tag | Pulm\Thoracic-OR | Diagnostic Procedure | '''OPEN LUNG BIOPSY''' | Open Lung Biopsy | 772-00 | No| 0 |'''Critical Care and Medicine''' | Currently Collected | |}}
{{PreICD10 px
NOTE:
| NewCCI2 = Biopsy (non-endoscopic)
}}
 
{{DX tag | Pulm\Thoracic-OR | Diagnostic Procedure | '''OPEN LUNG BIOPSY''' | Open Lung Biopsy | 77200 | No| 0 |'''Critical Care and Medicine''' | Currently Collected | |}}
A lung biopsy is a procedure that involves obtaining a tissue specimen from the lungs for microscopic analysis to establish a precise diagnosis.  
A lung biopsy is a procedure that involves obtaining a tissue specimen from the lungs for microscopic analysis to establish a precise diagnosis.  


There are three types of lung biopsies:
=== Open Lung Biopsy===
#An '''open lung biopsy''' is performed via a surgical incision in the chest. When they open the lung area, they use a scope to examine the lung which is a thoroscopy.
An '''open lung biopsy''' is performed via a surgical incision in the chest. When they open the lung area, they use a scope to examine the lung which is a thoroscopy.  
#*We do track open lung biopsy specifically.
#A needle lung biopsy, or '''percutaneous lung biopsy''', is performed by passing a biopsy needle through the skin into the lung.  May or may not require fluroscopic or CT guidance.
#*so we dont code EBUS (Endobronchial Ultrasound)
#** was that a question or a statement, Shirley?
#* '''we do not track these'''. Please do not code them as 777-90 [[Other Pulmonary/Thoracic OR]]. 
#A '''bronchoscopic lung biopsy''' is performed using a bronchoscope, and may or may not require fluoroscopic or CT guidance.
#*see [[Bronchoscopy/Laryngoscopy]].  We track the scope however,  we '''do not track if a biopsy was taken during the scope'''. Please do not code 777-90 [[Other Pulmonary/Thoracic OR]] along with the Bronchoscopy.
 
We are not tracking if a biopsy was taken during a bronchscopy.  If anyone wants to know down to that level of detail, then we advise them they will have to audit bronch cases to drill down further on their own.[[User:TOstryzniuk|Trish Ostryzniuk]] 18:08, 2014 April 23 (CDT)   


=== Pleurodesis ===
=== Needle Lung Biopsy ===
* 5/8/2007 Dr Gray stated ignore the method of entry thoracotomy /thoracoscopy  and call them all open lung biopsy plus or minus pleurodesis so do we still code pleurodesis under open lung biopsy?
A needle lung biopsy, or '''percutaneous lung biopsy''', is performed by passing a biopsy needle through the skin into the lung. May or may not require fluroscopic or CT guidance. This is not a diagnosis we code ([[List of Diagnoses we didn't code in old schema#Surgeries_or_procedures_not_currently_coded]].
**no.  Pleurodesis is a specific procedure to artificially obliterate the pleural space. A biopsy is the act of taking a sample of tissue for testing. --[[User:TOstryzniuk|Trish Ostryzniuk]] 17:15, 2015 July 7 (CDT)
*** how should we code pleurodesis? (Shirley)


=== Bronchoscopic Lung Biopsy ===
A '''bronchoscopic lung biopsy''' is performed using a bronchoscope, and may or may not require fluoroscopic or CT guidance.
* '''don't code these as Open Lung Biopsy''', see [[Bronchoscopy/Laryngoscopy]] for details




[[Category: Biopsy]]
[[Category:Biopsy (old)]]
[[Category: Diagnosis Coding]]

Latest revision as of 11:57, 30 July 2025

Pre-CCI procedure article in transition; corresponding new code/combo:


Biopsy (non-endoscopic)


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Pulm\Thoracic-OR (old)

Type:

Category: Diagnostic Procedure (old)

Main Diagnosis: OPEN LUNG BIOPSY
Sub Diagnosis: Open Lung Biopsy
Diagnosis Code: 77200
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: Critical Care and Medicine
Status: Currently Collected


A lung biopsy is a procedure that involves obtaining a tissue specimen from the lungs for microscopic analysis to establish a precise diagnosis.

Open Lung Biopsy

An open lung biopsy is performed via a surgical incision in the chest. When they open the lung area, they use a scope to examine the lung which is a thoroscopy.

Needle Lung Biopsy

A needle lung biopsy, or percutaneous lung biopsy, is performed by passing a biopsy needle through the skin into the lung. May or may not require fluroscopic or CT guidance. This is not a diagnosis we code (List of Diagnoses we didn't code in old schema#Surgeries_or_procedures_not_currently_coded.

Bronchoscopic Lung Biopsy

A bronchoscopic lung biopsy is performed using a bronchoscope, and may or may not require fluoroscopic or CT guidance.

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