Respiratory Service Line

Codes Discussed: ICD-10-PCS (International Classification of Diseases, 10th Revision, Procedure Coding System), 2026 ICD-10-PCS, ICD-10-PCS Official Guidelines for Coding and Reporting, Ear Nose and Sinus body system, Mouth and Throat body system, Respiratory body system, Anatomical Regions General body system, Medical and Surgical section, Placement section, Administration section, Extracorporeal Assistance and Performance section, New Technology section, Other Procedures section, 09 tables (Ear, Nose and Sinus body system tables), 0C tables (Mouth and Throat body system tables), 0B tables (Respiratory body system tables), 0W tables (Anatomical Regions General body system tables), 0BQ table (Respiratory System Repair table referenced for body parts), 09B table (Ear Nose and Sinus Excision table for nasal/sinus polypectomy), 0W9 table (Anatomical Regions General Drainage table), 0BB table (Respiratory System Excision table), 0BT table (Respiratory System Resection table), 0B5 table (Respiratory System Destruction table), 0B7 table (Respiratory System Dilation table), 0BH table (Respiratory System Insertion table), 0B1 table (Respiratory System Bypass table), 0BQ table (Respiratory System Repair table), 0BU table (Respiratory System Supplement table), 0DN table (Gastrointestinal System Release table), 3E1 table (Administration Irrigation table), 3E0 table (Administration Introduction table), 5A0 table (Extracorporeal Assistance table), 5A1 table (Extracorporeal Performance table), Guideline B3.2d (multiple procedures/attempted procedure completed by another approach), Guideline B3.11a (Inspection not coded separately when integral to same approach procedure), Guideline B3.2a-d (multiple procedure coding for biopsies and separate body parts), Body part value K (Nasal mucosa and soft tissue/nares, nostril, nasal cavity, alar cartilage, columella), Body part value P (Accessory sinus in Ear Nose and Sinus context; left pleura in Respiratory Excision context), Body part value Y (Sinus), Body part value M (Pharynx/base of tongue/hypopharynx/oropharynx), Body part value R (Epiglottis), Body part value P (Tonsils/palatine tonsils in Mouth and Throat context), Body part value Q (Adenoids/pharyngeal tonsils in Mouth and Throat context), Body part value Q (Respiratory tract in Anatomical Regions General Inspection context), Body part value 9 (Right pleural cavity in Anatomical Regions General context), Body part value B (Left pleural cavity in Anatomical Regions General context), Body part value F (Respiratory tract in Administration Irrigation context), Body part value L (Pleural cavity in Administration Introduction context), Body part value 1 (Nasal body part in Placement section), Body part value 1 (Trachea in Respiratory Bypass/Insertion context), Body part value G (Upper lung lobe, left), Body part value J (Lower lung lobe, left), Body part value C (Upper lung lobe, right), Body part value 5 (Right middle lobe bronchus/right middle bronchial lobe), Approach value 8 (Via natural or artificial opening endoscopic), Approach value 4 (Percutaneous endoscopic/VATS), Approach value X (External), Approach value 7 (Via natural or artificial opening), Approach value 0 (Open), Approach value 3 (Percutaneous), Device value D (Intraluminal device/generic stent; intraluminal device in COVID intubation case answer), Device value B (Intraluminal device, airway/nasopharyngeal airway), Device value E (Intraluminal device, endotracheal airway/endotracheal tube), Device value G (Intraluminal device, endobronchial valve), Device value F (Tracheostomy device), Device value 0 (Drainage device/chest tube), Device value J (Synthetic substitute/mesh), Qualifier value X (Diagnostic), Qualifier value Z (No qualifier), Qualifier value 4 (Cutaneous destination for tracheostomy bypass), Qualifier value G (Chemical substance/introduction for chemical pleurodesis context), Qualifier value C (Chemical pleurodesis substance qualifier context), 8E09XBZ (Computer-assisted navigation for sinus endoscopy/Other Procedures section), 09SM0ZZ (Reposition of nasal septum, open approach/septoplasty), 0B718DZ (Dilation of trachea with intraluminal device/tracheal stent), 0B778DZ (Dilation of left main bronchus with intraluminal device/left main bronchus stent), 09HN7BZ (Insertion of intraluminal airway device into pharynx via natural or artificial opening/nasopharyngeal airway or nasal trumpet), 0BH18EZ (Insertion of endotracheal airway into trachea via natural or artificial opening endoscopic/intubation), 0B110F4 (Open bypass of trachea to cutaneous with tracheostomy device/open tracheostomy), 0B113F4 (Percutaneous bypass of trachea to cutaneous with tracheostomy device/percutaneous tracheostomy), 3E1F88Z (Irrigation of respiratory tract via natural or artificial opening endoscopic/whole lung lavage), 3E0L4GC (Introduction of chemical substance into pleural cavity, percutaneous endoscopic approach/chemical talc pleurodesis), 5A1955Z (Mechanical ventilation greater than 96 consecutive hours through tracheostomy device/performance of respiratory ventilation), 5A09457 (Continuous positive airway pressure or NCPAP assistance, 24-96 hours), 5A09357 (Continuous positive airway pressure or NCPAP assistance, less than 24 hours), 5A09557 (Incorrect answer choice because separate NCPAP durations cannot be added together), 5A09558 (Incorrect answer choice because assistance is continuous, not intermittent), 5A1945Z (Mechanical ventilation 24-96 consecutive hours/performance of respiratory ventilation), 5A1935Z (Incorrect answer choice for NCPAP because root operation should be Assistance rather than Performance), 0BH17DZ (Insertion of intraluminal device into trachea via natural or artificial opening/endotracheal tube insertion in COVID-19 case), 5A09D5K (Intubated prone positioning for COVID-19 ARDS case), XW133D7 (New Technology administration of high-dose immune globulin/GAMUNEX-C through peripheral IV for COVID-19), XW133E7 (Incorrect answer choice because GAMUNEX-C is high-dose immune globulin), 09BU8ZZ (Excision of right ethmoid sinus via natural or artificial opening endoscopic/partial ethmoidectomy), 09BV8ZZ (Excision of left ethmoid sinus via natural or artificial opening endoscopic/partial ethmoidectomy), 09BU0ZZ (Incorrect answer choice because approach should be endoscopic through natural opening), 09BV0ZZ (Incorrect answer choice because approach should be endoscopic through natural opening), 09CU3ZZ (Incorrect answer choice because root operation is Extirpation and approach is wrong for endoscopic ethmoidectomy), 09CV3ZZ (Incorrect answer choice because root operation is Extirpation and approach is wrong for endoscopic ethmoidectomy), 09CU8ZZ (Incorrect answer choice because root operation is Extirpation, not Excision), 09CV8ZZ (Incorrect answer choice because root operation is Extirpation, not Excision), 099Q8ZZ (Drainage of right maxillary sinus via natural or artificial opening endoscopic/right maxillary antrotomy drainage), 09BQ8ZZ (Excision of right maxillary sinus via natural or artificial opening endoscopic/right maxillary antrostomy tissue excision), 099R4ZX (Incorrect answer choice because body part, approach, and qualifier do not match right endoscopic maxillary drainage without diagnostic intent), 099R8ZX (Drainage of left maxillary sinus via natural or artificial opening endoscopic with diagnostic qualifier/left maxillary sinus contents sent for culture), 09BR4ZZ (Incorrect answer choice because wrong body part/approach for right maxillary endoscopic excision), 095L3ZZ (Percutaneous destruction of nasal turbinate/radiofrequency ablation of inferior nasal turbinate), 09BK3ZZ (Incorrect answer choice because root operation Excision and body part are incorrect for turbinate ablation), 09BL3ZZ (Incorrect answer choice because ablation is Destruction, not Excision), 095K3ZZ (Incorrect answer choice because body part is incorrect for nasal turbinate), 0W9900Z (Open drainage of right pleural cavity with drainage device/chest tube for right hemothorax), 0BBP4ZX (Percutaneous endoscopic excision of left pleura, diagnostic/VATS pleural biopsy), 0BBP3ZX (Incorrect answer choice because VATS is percutaneous endoscopic, not percutaneous), 0BBT4ZZ (Incorrect answer choice because body part and diagnostic qualifier are incorrect for pleural biopsy), 0WCB4ZZ (Incorrect answer choice because pleura is not an anatomical region and diagnostic qualifier is missing), 0BBC0ZZ (Open excision of right upper lung lobe/segmentectomy or wedge excision of right upper lobe), 0BBP0ZX (Open excision of left pleura, diagnostic/open left pleural biopsy), 0BBJ0ZX (Open excision of left lower lung lobe, diagnostic/wedge resection sent for frozen section), 0BBJ3ZX (Incorrect answer choice because approach was open), 0BTJ0ZX (Incorrect answer choice because only a portion, not all, of the left lower lobe was removed), 0BBB0ZZ (Incorrect answer choice because left lower lung lobe, not left lower lobe bronchus, was removed), 0BBG0ZX (Open excision of left upper lung lobe, diagnostic/wedge resection before frozen section), 0BBG0ZZ (Open excision of left upper lung lobe, therapeutic/wide excision after frozen section), 0BB40ZX (Incorrect answer choice because body part should be upper lung lobe left), 0BTG0ZZ (Incorrect answer choice because lobe was not completely resected), 0BUT4JZ (Percutaneous endoscopic supplement of diaphragm with synthetic substitute/laparoscopic diaphragmatic hernia repair with mesh), 0DN64ZZ (Percutaneous endoscopic release of stomach/lysis of stomach adhesions), 0BQT4ZZ (Incorrect answer choice because repair used synthetic mesh and lysis of adhesions was also performed), 0BUT0JZ (Incorrect answer choice because procedure was laparoscopic, not open), 0DN60ZZ (Incorrect answer choice because lysis was laparoscopic, not open), 3E0L3TZ (Incorrect answer choice because talc pleurodesis was percutaneous endoscopic chemical pleurodesis, not percutaneous destruction/seal coding), 0B5P4ZZ (Incorrect answer choice because procedure was chemical, not mechanical pleurodesis), 0B5P0ZZ (Incorrect answer choice because procedure was chemical, not mechanical pleurodesis and approach was percutaneous endoscopic), 0BH13EZ (Incorrect answer choice because tracheostomy is Bypass, not Insertion of endotracheal airway), 0BH10DZ (Incorrect answer choice because tracheostomy is Bypass with tracheostomy device, not insertion of intraluminal device), 5A0945Z (Incorrect answer choice for mechanical ventilation because root procedure should be Performance), 0BH58GZ (Insertion of endobronchial valve into right middle lobe bronchus via natural or artificial opening endoscopic), 0BJ08ZZ (Incorrect answer choice because procedure went beyond diagnostic bronchoscopy), 0B758DZ (Incorrect answer choice because bronchus was not dilated), 0BH38GZ (Incorrect answer choice because valve was placed in right middle lobe bronchus, not main bronchus), FESS (Functional Endoscopic Sinus Surgery), VATS (Video-assisted thoracoscopic surgery), BAL (Bronchoalveolar lavage), NCPAP (Nasal continuous positive airway pressure), CPAP (Continuous positive airway pressure), COVID-19, ARDS (Acute respiratory distress syndrome), GAMUNEX-C (high-dose immune globulin), Lidocaine, epinephrine, Marcaine, silver nitrate, talc, Prolene mesh patch, Portex tracheostomy tube, nasopharyngeal airway, nasal trumpet, endotracheal tube, tracheostomy device, endobronchial valve, tracheal stent, left main bronchus stent, chest tube, drainage tube, mechanical ventilation, high flow nasal cannula, ventilator, laryngoscope, bronchoscope, rigid bronchoscope, flexible bronchoscope, forceps, snare, balloon, basket, magnetic extractor, microdebrider, scalpel, curved scalpel, suction cautery, radiofrequency ablation, coblation, bipolar radiofrequency ablation, YAG laser, chemical irritant, removable nasal packing, dissolvable nasal packing, embolic material, carbon dioxide insufflation, CT scan, frozen section pathology, biopsy, diagnostic qualifier, chemical pleurodesis, mechanical pleurodesis, whole lung lavage, bronchoalveolar lavage, intubation, extubation

Topics Covered: ICD-10-PCS respiratory service line coding, respiratory system procedure coding, respiratory anatomy for PCS coding, respiratory body part identification, respiratory procedure approaches, respiratory devices, respiratory qualifiers, respiratory system case coding, Ear Nose and Sinus body system coding, Mouth and Throat body system coding, Respiratory body system coding, Anatomical Regions General respiratory coding, nose anatomy, sinus anatomy, nasal mucosa and soft tissue, nares, nostril, nasal cavity, alar cartilage, columella, accessory sinus, frontal sinus, ethmoid sinus, sphenoid sinus, maxillary sinus, paranasal sinuses, turbinates, superior turbinate, middle turbinate, inferior turbinate, lacrimal duct, puncta, nasolacrimal duct, nasal septum, deviated septum, hypertrophic turbinates, nasal obstruction, throat anatomy, pharynx, base of tongue, hypopharynx, oropharynx, epiglottis, tonsils, palatine tonsils, adenoids, pharyngeal tonsils, respiratory system anatomy, trachea, windpipe, carina, left main bronchus, right main bronchus, bronchi, bronchioles, alveoli, lingula, lung segments, lung lobes, right lung lobes, left lung lobes, pleura, parietal pleura, visceral pleura, diaphragm, inspiration, expiration, air flow sequence, oxygen and carbon dioxide exchange, oral cavity and throat, pleural cavity, right pleural cavity, left pleural cavity, mediastinum, thymus, esophagus, nerves, lymph nodes, pericardial cavity, respiratory tract, approach selection for respiratory procedures, via natural or artificial opening endoscopic approach, percutaneous endoscopic approach, VATS approach, external approach, open approach, percutaneous approach, via natural or artificial opening approach, scope through mouth or nose, scope through tracheostomy site, scope through chest wall, intraluminal devices, extraluminal devices, generic intraluminal device, respiratory stent coding, tracheal stent coding, bronchial stent coding, intraluminal airway device, nasopharyngeal airway coding, nasal trumpet coding, airway assistance, suctioning secretions, endotracheal airway coding, endotracheal tube insertion, intubation coding, extubation, anesthesia airway, medication administration to lungs, mechanical ventilation access, endobronchial valve coding, bronchial valve placement, one-way valve, persistent pneumothorax treatment, emphysema treatment, tracheostomy device coding, tracheostomy tube, surgically created airway, cricoid cartilage, mechanical ventilation connector, respiratory qualifier selection, diagnostic qualifier, no qualifier, respiratory procedures ending in qualifier Z, sinus endoscopy coding, FESS coding, Functional Endoscopic Sinus Surgery, Inspection coding, sinus Inspection rules, discontinued sinus procedure coding, computer-assisted navigation coding, sinus antrotomy coding, sinus antrostomy coding, Drainage versus Excision versus Extraction, chronic sinusitis treatment, maxillary sinus procedures, ethmoidectomy coding, sphenoidotomy coding, uncinate process, uncinectomy integral to ethmoid sinus approach, ethmoid sinus opening, complete ethmoidectomy, partial ethmoidectomy, sphenoid sinus access, sinus polyp removal, nasal polypectomy, sinus polypectomy, nasal polyps, sinus polyps, nasal turbinate reduction coding, turbinate ablation, inferior nasal turbinate radiofrequency ablation, bipolar radiofrequency ablation, coblation, microdebriding tool, submucosal resection of turbinates, nasal septoplasty coding, septum repositioning, septal excision, septal replacement, septal supplement, weakened septum reinforcement, pleural cavity aspiration coding, thoracentesis coding, pleurocentesis coding, pleural effusion drainage, pneumothorax drainage, hemothorax drainage, chest tube placement, diagnostic fluid removal, pleural cavity drainage coding, mediastinal biopsy coding, mediastinal drainage, mediastinal inflammation, lymphadenopathy, mediastinal tumors, respiratory Inspection coding, airway inspection, laryngoscopy coding, bronchoscopy coding, thoracoscopy coding, respiratory tract inspection, pleural biopsy coding, pleural tissue biopsy, open pleural biopsy, VATS pleural biopsy, viral infection evaluation, bacterial infection evaluation, fungal infection evaluation, neoplasm evaluation, mesothelioma evaluation, tuberculosis evaluation, mechanical pleurodesis coding, pleura destruction, repeated drainage failure, spontaneous pneumothorax, abrasive pleural procedure, chemical pleurodesis distinction, tonsillectomy coding, adenoidectomy coding, recurrent tonsillitis, obstructive sleep apnea, nasal airway obstruction, snoring, peritonsillar abscess, tonsil Resection, adenoid Resection, partial tonsil Excision, tonsil Destruction, adenoid Destruction, suction cautery, radiofrequency ablation, coblation, laryngeal dilation coding, laryngeal stenosis, balloon dilation of larynx, endotracheal tube balloon delivery, tracheal dilation coding, bronchial dilation coding, tracheal stenosis, bronchial constriction, polyester stent, silicone stent, wire stent, tracheostomy coding, open tracheostomy, percutaneous tracheostomy, tracheostomy Bypass root operation, cutaneous qualifier for tracheostomy, airway rerouting, bronchial Extirpation, inhaled foreign body removal, rigid bronchoscopy, flexible bronchoscopy, foreign body retrieval tools, balloon retrieval catheter, lung Excision versus Resection, segmentectomy coding, lobectomy coding, pneumonectomy coding, wedge resection coding, lung biopsy coding, bronchial biopsy, transbronchial lung biopsy, bronchoscope biopsy approach, multiple biopsy coding, bronchoalveolar lavage coding, BAL coding, diagnostic lung lavage, alveoli washing, infection evaluation, tumor evaluation, whole lung lavage coding, therapeutic lung lavage, pulmonary alveolar proteinosis treatment, one-lung ventilation, Administration section Irrigation, diaphragm repair coding, diaphragm supplement coding, diaphragmatic hernia repair, congenital diaphragmatic hernia, acquired diaphragmatic hernia, aortic hiatus, esophageal hiatus, vena cava foramen, mesh closure, Prolene mesh patch, nasal packing coding, epistaxis control, post-sinus surgery packing, removable packing, dissolvable packing, Placement section Packing root operation, nasal orifice body part, cauterization for epistaxis, electrical cautery, chemical cautery, silver nitrate, embolization for epistaxis, bleeding vessel embolization, chemical pleurodesis coding, talc pleurodesis, VATS chemical pleurodesis, pleural cavity substance introduction, pneumothorax sealing, pleural adhesions, extracorporeal respiratory assistance coding, CPAP coding, NCPAP coding, high flow nasal cannula coding, duration character for respiratory assistance, respiratory treatment qualifier, extracorporeal respiratory performance coding, mechanical ventilation coding, ventilation duration counting, weaning time included in ventilation duration, multiple ventilation episodes, endotracheal tube ventilation, tracheostomy tube ventilation, COVID-19 treatment coding, New Technology COVID-19 therapy coding, COVID-19 high-dose immune globulin, GAMUNEX-C administration, intubated prone positioning, ARDS due to COVID-19, Code Purple practice, Code Red ultimate challenge, nose and sinus anatomy labeling, anatomical sequence of inspiration, lingula body part location, pleural cavity body system selection, VATS approach selection, sinus scope approach selection, respiratory device matching, lingula biopsy qualifier, majority qualifier value Z, bilateral endoscopic partial ethmoidectomy case, right maxillary antrotomy and antrostomy case, inferior nasal turbinate radiofrequency ablation case, right hemothorax chest tube case, complete adenoid removal root operation, left VATS pleural biopsy case, tracheal stent device value, tracheostomy root operation, right upper lobe segment excision case, NCPAP duration case, mechanical ventilation over 96 hours through tracheostomy case, COVID-19 ARDS ventilation and prone positioning case, left maxillary sphenoid and ethmoid sinusitis FESS case, open left pleural biopsy case, left lower lung lobe nodule wedge biopsy case, metastatic colon cancer left upper lobe wedge resection and wide excision case, bronchoscopy with transbronchial biopsy approach, laparoscopic diaphragmatic hernia repair with lysis of adhesions case, VATS talc pleurodesis case, percutaneous tracheostomy with mechanical ventilation case, endobronchial valve placement for persistent air leak case, bronchopleural fistula treatment, right middle lobe air leak isolation, sizing balloon use, deployment catheter, ICD-10-PCS inpatient procedure coding education, respiratory procedure coding education, medical coding course content