Pulmonology Coding Alert

Reader Question:

Chest Tube Removal

Question: Is there a payable code for removal of chest tube?

Nevada Subscriber

Answer: There are no separate CPT codes to report the non-incisional removal of tubes and catheters.
If the removal does not fall within a global period and requires an incision, report an unlisted CPT code, 39499 (unlisted procedure, mediastinum). Be sure the code is backed up with complete documentation that clearly explains the services performed.

If the removal is non-incisional, it is included in the evaluation and management (E/M) codes reported by the physician for that day.