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Thread: Meiastinal irrigation and attempted closure

  1. #1

    Default Meiastinal irrigation and attempted closure

    AAPC: Back to School
    Help please. Need ICD and CPT

    Pt had open chest aortic valve replacement. Chest could not
    be closed because of distended lung.

    at this time surgeon planned chest closure.

    actual surgery mediastinal irrigation(still could not close)

    Thank you

  2. #2


    May be 33405-54, 39010-52(because chest left open),54.
    Distended lung is commonly due to atelectasis(518.0) or pneumonia(486) which can be aspirated.
    (If this is a pnemonia problem, then pnemonial aspiration and bronchopulmonary lavage CPTs also may be required before the chest wall closure may be done to this patient. May wait and refer the documentation for this.)
    Aortic valve replacement is usually performed for CAD(414.00) patients. Please check.
    Last edited by lavanyamohan; 01-18-2009 at 06:54 AM.

  3. #3


    Thank you so much,

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