Bronchoscopy Under Fluoroscopic Guidance

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When a bronchoscopy is performed under fluoroscopic guidance, how are the codes assigned per CPT coding guidelines?

The fluoroscopy guidance code is assigned as a secondary procedure code with the bronchoscopy code.

The fluoroscopy guidance code is assigned as the first procedure code.

The fluoroscopy is included in the bronchoscopy and no code is assigned for it.

Individual hospital coding guidelines determine whether the fluoroscopy is separately coded.

Source: AHIMA Press. Clinical Coding Workout, 2019. https://my.ahima.org/store/product?id=65592.