Procedure Performed: Fiber-Optic Bronchoscopy, Bronchial Biopsy, Bronchial Washings, and Bronchial

Multiple Choice

Procedure performed: Fiber-optic bronchoscopy, bronchial biopsy, bronchial washings, and bronchial brushings
Preprocedure diagnosis: Abnormal chest x-ray
Postprocedure diagnosis: Inflammation in all lobes, pneumonia; with pleural placquing? consistent with possible candidiasis
The patient was already on a ventilator, so the bronchoscope tube was introduced through the ET tube. We saw 2.5 cm above the carina of the trachea, which was red and swollen as was the carina. The right lung: All entrances were patent, but they were all swollen and red, with increased secretions. The left lung was even more involved, with more swelling and more edema and had bloody secretions, especially at the left base. This area from the carina all the way down to the smaller airways on the left side had shown white placquing consistent with possible candidiasis. These areas were brushed, washed, and biopsied. A biopsy specimen was also sent for tissue culture, as well as two biopsy specimens sent for pathology. Sheath brushings were also performed. The patient tolerated the procedure well and was sent back to the ICU.
Select the appropriate ICD-10-CM and CPT code(s) :

A) J18.9, 31625, 31623-51
B) J18.9, B37.9, 31625
C) R93.0, J18.9, B37.9, 31625
D) R93.0, J18.9, 31625