Can a diagnostic thoracoscopy be billed with a surgical thoracoscopy (vats) under certain circumstances

No:
A diagnostic thoracoscopy is always included in the surgical thoracoscopy (vats}

I think when humans burn fossil fuels, the stored carbon is released into the atmosphere as carbon dioxide. The carbon is then free to cycle through the Earth and can upset the natural balance of the carbon available, changing the way that processes occur on Earth hope this helps