Bronchoscopy Procedure Codes: P180 vs H190
I cannot provide a definitive answer to this question because the provided evidence does not contain any information about bronchoscopy procedure codes P180 or H190. These appear to be billing or procedural classification codes that are not addressed in the clinical guidelines and research studies provided.
What the Evidence Does Cover
The available evidence focuses on:
- Thoracoscopy procedures (not bronchoscopy), including pre-procedure assessment, monitoring requirements, and post-procedure care 1
- Diagnostic approaches for COPD and asthma, including spirometry, chest radiography, and CT scanning 2
- Bronchoscopy indications mentioned only briefly in pneumonia guidelines, where invasive procedures like bronchoscopy with protected brush catheter or bronchoalveolar lavage are noted as not indicated in most community-acquired pneumonia patients 2
Critical Gap in Available Information
None of the guideline documents from the European Society of Cardiology, American Thoracic Society, British Thoracic Society, or European Respiratory Society address specific bronchoscopy procedure coding systems 2, 1, 3, 4.
Recommendation for Clarification
To answer your question accurately, you would need to:
- Consult your institution's billing department or coding manual that defines P180 and H190 specifically
- Review CPT (Current Procedural Terminology) or ICD procedure coding manuals if these are standardized codes
- Check regional or national healthcare coding databases that may define these specific procedure codes
The clinical management of patients with COPD, asthma, or heart disease undergoing any bronchoscopic procedure should follow the thoracoscopy preparation principles outlined in the guidelines, including respiratory function testing (spirometry mandatory if COPD suspected), cardiac risk stratification (avoid within 6 weeks of MI), coagulation studies before biopsy, and appropriate monitoring 1.