jewlz0879
True Blue
Can someone please point me in the right direction for code selection? I don't know why this case has me unsure but it does.
Patient prepped and draped. Incision made over the mid-level of the clavicle. Physician performs clavicle and 2nd rib debridement. Because I could not drain the abcess totally just through 1 incision, I had to make a counterincision a little bit lower on the anterior chest wall towards the breast. Right lateral chest wall was prepped and drapped, a small incision was made on the right lateral chest wall and the right pleural cavity was entered sharply and not much fluid escaped. Chest tube was placed in the right pleural space and secured at the exit site....
Should I use 11044? I don't think this is right because he is not talking about debriding skin, muscle and bone.
21627 - sternal debridement?
39000 - Mediastinotomy?
Any direction or advice is greatly appreciated!
Patient prepped and draped. Incision made over the mid-level of the clavicle. Physician performs clavicle and 2nd rib debridement. Because I could not drain the abcess totally just through 1 incision, I had to make a counterincision a little bit lower on the anterior chest wall towards the breast. Right lateral chest wall was prepped and drapped, a small incision was made on the right lateral chest wall and the right pleural cavity was entered sharply and not much fluid escaped. Chest tube was placed in the right pleural space and secured at the exit site....
Should I use 11044? I don't think this is right because he is not talking about debriding skin, muscle and bone.
21627 - sternal debridement?
39000 - Mediastinotomy?
Any direction or advice is greatly appreciated!