the Thopaz+ and its associated disposables are located in the pleural room (isolation room #1).  They are on the top shelf of the cabinet located directly over the sink.  Please make sure that it is documented on the equipment sign-out sheet if it is taken outside of the Bronch Suite. Also please disinfect with a purple wipe before returning to the cabinet.

Thopaz+ Express In-Service Video – YouTube

Medela-Thopaz+-training-for-physicians – YouTube

How to check therapy progress (air) with Thopaz+ (youtube.com)

How to take a fluid sample with Thopaz+ (youtube.com)

.IPATTESTATIONAPP

Use this for any new consult or progress note (NON-CRITICAL CARE):

I personally saw and evaluated the patient with the APP and agree with their findings and plan. Total time I spent independently and concurrently with the APP on the date of the note was ***.  My time spent includes {Billing Time Dropdown:32652}. Additional time (if any) spent performing other billable services is documented separately. 

.IPATTESTATIONAPPCRITICALCARE

Use this for any Critical Care notes:

I saw, evaluated, and participated in the care of the patient on the date of the note. The patient’s condition has high probability for clinically significant or life-threatening deterioration and requires the highest level of my preparedness to intervene urgently. Total time spent independently and concurrently with the APP on this date of service was *** minutes in the care of this critically ill patient. Total time excludes any procedures performed. 

.IPATTESTATION

Use this for any note that you see the patient independently – ie consults over the weekend, clinic visits, etc. or with trainees:

I personally spent *** minutes on the date of the note, which includes {Billing Time Dropdown:32652}.
Additional time (if any) spent performing other billable services is documented separately.  

Procedure	CPT Code	CPT Description
Airway Exam	31622	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; diagnostic  with cell washing  when performed (separate procedure)
Brush	31623	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with brushing or protected brushings
BAL	31624	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with bronchial alveolar lavage
EBBx	31625	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with bronchial or endobronchial biopsy(s)  single or multiple sites
Fiducial Marker Placement	31626	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with placement of fiducial markers  single or multiple
Computer Assisted Bronchoscopy	31627	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with computer-assisted  image-guided navigation (List separately in addition to code for primary procedure[s])
TBBx – Forceps, single lobe	31628	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with transbronchial lung biopsy(s)  single lobe
TBNA, Single lobe	31629	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with transbronchial needle aspiration biopsy(s)  trachea  main stem and/or lobar bronchus(i)
Balloon Dilation	31630	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with tracheal/bronchial dilation or closed reduction of fracture
Stent Placement	31631	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required)
TBBx – Forceps, Each Additional Lobe	31632	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with transbronchial lung biopsy(s)  each additional lobe (List separately in addition to code for primary procedure)
TBNA, Each additional lobe	31633	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with transbronchial needle aspiration biopsy(s)  each additional lobe (List separately in addition to code for primary procedure)
Balloon Occlusion	31634	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with balloon occlusion  with assessment of air leak  with administration of occlusive substance (eg  fibrin glue)  if performed
Foreign Body Removal	31635	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with removal of foreign body
Stent Placement, initial	31636	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with placement of bronchial stent(s) (includes tracheal/bronchial dilation as required)  initial bronchus
Additional Stent	31637	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; each additional major bronchus stented (List separately in addition to code for primary procedure)
Stent Revision	31638	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with revision of tracheal or bronchial stent inserted at previous session (includes tracheal/bronchial dilation as required)
Tumor Excision	31640	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with excision of tumor
Ablation via Cryo, APC, Electrocautery, Laser	31641	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg  laser therapy  cryotherapy)
Aspiration of Secretions, initial	31645	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with therapeutic aspiration of tracheobronchial tree  initial
Aspiration of Secretions, subsequent	31646	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with therapeutic aspiration of tracheobronchial tree  subsequent  same hospital stay
Endobronchial Valve, initial insertion	31647	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with balloon occlusion  when performed  assessment of air leak  airway sizing  and insertion of bronchial valve(s)  initial lobe
Endobronchial Valve, initial removal	31648	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with removal of bronchial valve(s)  initial lobe
Endobronchial Valve, additional removal	31649	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)
Endobronchial Valve, additional insertion	31651	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with balloon occlusion  when performed  assessment of air leak  airway sizing  and insertion of bronchial valve(s)  each additional lobe (List separately in addition to code for primary procedure[s])
EBUS (1 or 2 Nodes)	31652	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg  aspiration[s]/biopsy[ies])  one or two mediastinal and/or hilar lymph node stations or structures
EBUS (3 or more Nodes)	31653	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg  aspiration[s]/biopsy[ies])  3 or more mediastinal and/or hilar lymph node stations or structures
EBUS – Peripheral	31654	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with transendoscopic endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s) (List separately in addition to code for primary procedure[s])
BT – one lobe	31660	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with bronchial thermoplasty  1 lobe
BT – 2 or more lobes	31661	Bronchoscopy  rigid or flexible  including fluoroscopic guidance  when performed; with bronchial thermoplasty  2 or more lobes