Provider billed codes 32505/32310 for this procedure. I was looking at code 32141 and wondering if that was a better choice or did he choose correctly?
OPERATIVE FINDINGS:
Multiple adhesions, most of the bullae were in the apical and anterior segments of the right upper lobe
OPERATIVE TECHNIQUE:
Following induction of general endotracheal anesthesia the patient was prepped and draped in the right or left: Right lateral decubitus position. A 5th ICS posterolateral rib and muscle sparing thoracotomy was performed. The Right upper lobe of lung bullae were identified after lysis of adhesions. Entire apical and partial anterior segments were wedged using multiple reinforced blue and black EndoGIAs. The right lung was then inflated under water without any evidence of any air leak.
Near total pleurectomy was then performed.
The remaining lung expanded fully. A 28 French channel drain was placed in the pleural space and the chest was closed with mutiple layers of vicryl.
OPERATIVE FINDINGS:
Multiple adhesions, most of the bullae were in the apical and anterior segments of the right upper lobe
OPERATIVE TECHNIQUE:
Following induction of general endotracheal anesthesia the patient was prepped and draped in the right or left: Right lateral decubitus position. A 5th ICS posterolateral rib and muscle sparing thoracotomy was performed. The Right upper lobe of lung bullae were identified after lysis of adhesions. Entire apical and partial anterior segments were wedged using multiple reinforced blue and black EndoGIAs. The right lung was then inflated under water without any evidence of any air leak.
Near total pleurectomy was then performed.
The remaining lung expanded fully. A 28 French channel drain was placed in the pleural space and the chest was closed with mutiple layers of vicryl.