• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Cpt 32655

daniel

True Blue
Messages
526
Best answers
0
I have an O.P report stating that a Left video-assited thoracoscopic wedge resection of the left lobe was done. CPT 32657.



But at the tail end of the report, he adds.



Upon completion of the surgery, a 28-french chest tube was placed. The incision were closed, however, there was noted to be suddenly a large air leak. The incisions were all reopened. The patient had remained prepped and draped. The camera was reintroduced. Saline was introduced into the chest. Inflation occurred. The lower lobe appeared intact. The upper lobe had very large bubbles and air leak. There were noted to be several blebs along the suture line. Using the 3 incisions and ring forceps, I resected one of these blebs with the Endo GIA times 2 and another bleb with the Endo GIA times 1. The air leak was markedly reduced but still present. I placed ProGel over the incision and placed a 28-French chest tube inside the chest, and the lung reinflated, but it was quite emphysematous and quite thin and friable. There was no other way to suture more material given his known preoperative poor lung function. I placed the 28-french chest tube through the camera port and secured it with 2-0silk. I closed the other incisions with 0 silk, 2-0 vicryl, 4-0 monocyl for skin and dermabond.





Does this documentation warranted adding



CPT 32655:

Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure



So are overall coding would look like.



CPT 32657

CPT 32655



Are these services ever done with one another?




Thanks
Daniel,CPC
 
Top