hpgh
Contributor
Procedures:
1. Right lateral thoracotomy.
2. Wedge resection of the right lower lobe.
3. Incisional biopsy, right mediastinal mass.
Description Of Procedure: After general endotracheal anesthesia was performed, she was prepped and draped in usal sterile fashion. A lateral thoracotomy incision was made and carried down to the fifth interspace where abouve findings were noted. The mass was not well circumcised and appeared to be somewhat infiltrative, extending across the midline, but not involving her heart. It did involve her diaphragm. Frozen section revealed adenocarcinoma. The diaphragm was closed with double layer of #1 Prolene running sutures. There was a small 4-mm granuloma-type mass in her right lower lobe, which was biopsied and sent for permanent section. With 2 separate stab incisions, 32-French chest tubes were in place and secured with 0 silk suture. The ribs were reapproximated with #2 figure-of-eight Vicryl suture, muscle layers with #1 Vicryl, deep subcutaneous tissue with 0 Vicryl, and skin with running 4-0 Monocry. Sponge count and needle count were correct.
I have coded this as 32500 is this the only procedure code I can bill?
I appreciate all the help.
1. Right lateral thoracotomy.
2. Wedge resection of the right lower lobe.
3. Incisional biopsy, right mediastinal mass.
Description Of Procedure: After general endotracheal anesthesia was performed, she was prepped and draped in usal sterile fashion. A lateral thoracotomy incision was made and carried down to the fifth interspace where abouve findings were noted. The mass was not well circumcised and appeared to be somewhat infiltrative, extending across the midline, but not involving her heart. It did involve her diaphragm. Frozen section revealed adenocarcinoma. The diaphragm was closed with double layer of #1 Prolene running sutures. There was a small 4-mm granuloma-type mass in her right lower lobe, which was biopsied and sent for permanent section. With 2 separate stab incisions, 32-French chest tubes were in place and secured with 0 silk suture. The ribs were reapproximated with #2 figure-of-eight Vicryl suture, muscle layers with #1 Vicryl, deep subcutaneous tissue with 0 Vicryl, and skin with running 4-0 Monocry. Sponge count and needle count were correct.
I have coded this as 32500 is this the only procedure code I can bill?
I appreciate all the help.