• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Instillation of TPA

Bennett1234!

Guest
Messages
8
Location
Lowell, MI
Best answers
0
Hello,
I am wondering what to code for this visit?
I am just coming up with 32561.
What does everyone think?
Thanks,
Angela RHIT,CIRCC
:confused:

Reason For Exam
pleural mesothelioma

Exam: Ultrasound lung chest with Intra-pleural instillation of TPA

History: Followup mesothelioma with pleural drain placement.

Technique: Ultrasound evaluation of the left pleural space was done and images recorded in PACS. A small residual left pleural fluid collection is seen with echogenic appearance of pleural surfaces and probable atelectatic lung.

5 mg of TPA in 25 mL of normal saline were instilled via the catheter into the left pleural space. Patient was instructed to leave this clamped off for 4 hours and then open to drainage. He will track outputs for determination of next step.
 
Top