Location: Outpatient Hospital
INDICATION FOR THE PROCEDURE: Patient with chronic emphysema and chronic obstructive pulmonary disease, and a significant smoking history.
PROCEDURE: Bronchoscopy procedure
PREPROCEDURE MEDICATIONS were given: Atropine 0.5 mg and codeine 60 mg intramuscularly, and then also hydroxyzine. Topical anesthesia was applied with cocaine mix along with the Lidocaine topically into the throat. He was lying supine in the fluoroscope unit and with video monitoring, the bronchoscope was introduced through the nose and into the upper airway. The vocal cords were visualized. There were no endobronchial lesions noted. The vocal cords were moving equally with phonation and respiration. The bronchoscope was introduced through the vocal cords and negotiated into the trachea; the left upper lingula and lower lobe branches were visualized. No endobronchial lesions were noted. The right main, middle, lower, and upper lobe bronchi up to subsegmental branches were visualized; no endobronchial lesions were noted either. The procedure was uneventful. He did not have any significant cough during the procedure.
CPT Code: ____________________