31653 Bronchial ebus samplng 3/> node
Also known as: EBUS-TBNA multiple nodes, extensive EBUS, multi-station TBNA
Bronchoscopy with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) of three or more lymph nodes or lesions for comprehensive tissue sampling.
In Plain Language
ultrasound-guided biopsies from multiple lymph nodes
Clinical Context
Performed for comprehensive mediastinal staging in lung cancer with EBUS evaluation of multiple lymph node stations for treatment planning.
RVU Breakdown
| Work RVU | 4.84 |
| Total RVU | 4.84 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 4.84, this code ranks in the 33rd percentile among Surgery codes — 1.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31653?
CPT 31653 (Bronchial ebus samplng 3/> node) is a Surgery code. Bronchoscopy with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) of three or more lymph nodes or lesions for comprehensive tissue sampling.
What is the wRVU value for CPT 31653?
The work RVU for CPT 31653 is 4.84. This code is primarily used by Pulmonology, Oncology, Interventional Pulmonology.
When is CPT 31653 used?
Performed for comprehensive mediastinal staging in lung cancer with EBUS evaluation of multiple lymph node stations for treatment planning.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.