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Endobronchial Valve Placement and Balloon Occlusion for Persistent Air LeakEndobronchial Valves for Air Leak: Coding: Procedure Overview and New Current Procedural Terminology Codes for 2013

Kevin L. Kovitz, MD, MBA, FCCP; Kim D. French, MHSA, CAPPM
Author and Funding Information

From the Division of Pulmonary, Critical Care, Sleep and Allergy (Dr Kovitz), University of Illinois Hospital & Health Sciences System, Chicago; Chicago Chest Center (Dr Kovitz), Elk Grove Village; and Suburban Lung Associates (Ms French), Elk Grove Village, IL.

Correspondence to: Kevin L. Kovitz, MD, MBA, FCCP, Division of Pulmonary, Critical Care, Sleep and Allergy, University of Illinois Hospital & Health Sciences System, 840 S Wood St, MC 719, Chicago, IL 60612; e-mail: kkovitz@uic.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(2):661-665. doi:10.1378/chest.12-2746
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Unidirectional endobronchial valves, originally studied for potential treatment of emphysema, have emerged as a useful intervention for patients with persistent air leak from the lung. The procedure is accomplished via bronchoscopy in a patient who already has a chest tube in place for management of the air leak. It uses an occluding balloon to determine the specific airway(s) leading to the leak by impact on airflow and subsequent placement of removable valve(s) in one or more segment or subsegments to decrease flow across the leak to allow for healing of the fistula. Specific US Food and Drug Administration-approved criteria for placement and removal of these valves via a Humanitarian Device Exemption are discussed along with reported outcomes. Current Procedural Terminology codes effective for 2013 that are specific to the procedure are reviewed.


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