Electromagnetic Navigation-Guided Bronchoscopy

Aetna covers electromagnetic navigation (EN)-guided bronchoscopy (CPT +31627; HCPCS C7509–C7511) only for peripheral pulmonary nodules requiring pathologic diagnosis that are not accessible by standard bronchoscopy or transthoracic biopsy (selection criteria must be met; examples: ICD-10 R91.1, R91.8). EN-guided microwave ablation, cone-beam CT–augmented EN, and transbronchial cryo-biopsy to improve digital tomosynthesis-assisted EN biopsy are considered experimental/investigational and not covered.

"ICD-10 covered diagnoses (when selection criteria are met): R91."

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