Intended/ Attempted Procedure

mallory615

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Pulmonlogist schedules outpatient thoracentesis on a patient with a pleural effusion. Ultrasound is used at the bedside, locates a small effusion on the left and very small effusion on the right. Too small to tap. Procedure is cancelled. Is there anything I can bill for my doctor's time spent? Any help? Thanks
 
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No incision?

If there was no incision (or introduction of needle, etc), then you will be coding the E/M based on the documentation.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 

mallory615

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Nope... no incision. That was pretty much the answer I was expecting. I will bill accordingly. Thanks
 
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