Decortication of lung and TPA next day

billysun35

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Garretson, SD
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Need some help with this one.
Patient had thoroscopic decortication of left lung with mechanical pleurodesis and placement of mesh on the left hemidiaphragm-32652-LT. The second day the patient had a bedside procedure of instillation of TPA into existing chest tube, 5 grams TPA in 50ml sterile saline was injected into two chest tubes placed during surgery the day before.
My question is can I bill for the TPA or is it included in the global procedure and what code would you use? (32560-78???)

Thank you for taking the time to read this:)
 
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