Results 1 to 8 of 8

chest tube exchange

  1. Default chest tube exchange
    Medical Coding Books
    How to code chest tube exchange ,can i code 49423 please confirm

  2. #2
    Default
    I would think that a chest tube placed for drainage would fall under cpt 49423

    Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure)

  3. Default
    Thankyou

  4. #4
    Location
    Huntsville Alabama
    Posts
    34
    Default
    Quote Originally Posted by MLS2 View Post
    I would think that a chest tube placed for drainage would fall under cpt 49423

    Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure)
    This question was asked again recently....Can you please provide the source where you got that answer from? My concern is that the pleural drainage catheter placement code is 32557, which falls under the Surgery/Respiratory, and 49423 falls under Surgery/Digestive. We are thinking to either bill 32557-52 or the unlisted 32999.
    Kristen Schwarz, CPC

  5. Default
    Kristen I posed the same question in a different forum and the answer I got back was also 32557-52 or 32999

  6. Default 49423-chest tube xchange
    Hi,
    It would be 49423/75984.
    Margie

  7. #7
    Location
    Huntsville Alabama
    Posts
    34
    Default
    Quote Originally Posted by margaret fahy View Post
    Hi,
    It would be 49423/75984.
    Margie
    I was just curious where you got that from - ACR, AAPC, AMA, etc. We recently attended the CSI CROWN Seminar Series, and I was looking through the IR book from them, and found the following: "...If the chest tube is replaced during the same encounter when it was inserted, the replacement is included in the insertion code. However, if it is replaced at a later encounter, this procedure is separately reportable. Report the tube replacement with code 32557-52. Modifier 52 is used since the tube is being replaced through the same tract. For replacement of a drainage tube for empyema (pleural abscess), use the abscess drainage catheter replacement code 49423 rather than 32557-52. (See Clinical Examples in Radiology, Summer 2013)"
    Kristen Schwarz, CPC

  8. Default Chest tube xchange
    Kristen,
    I have asked this question of CSI, and I was told that, yes, 49423...as it states in the book...exchange of any drainage catheter.
    I feel comfortable with this code.
    What do you think?
    Margie

Similar Threads

  1. Nephro tube Exchange...
    By she803 in forum Interventional Radiology
    Replies: 2
    Last Post: 04-24-2012, 03:57 PM
  2. tracheostomy tube exchange
    By cathykim in forum Cardiovascular Thoracic
    Replies: 1
    Last Post: 08-09-2010, 04:16 PM
  3. Tube exchange
    By WendyCJohnson in forum General Surgery
    Replies: 1
    Last Post: 06-23-2010, 02:15 PM
  4. NG Tube placement/exchange code
    By arleenas@yahoo.com in forum Anesthesia
    Replies: 2
    Last Post: 07-27-2009, 03:21 PM
  5. Gastrostomy tube exchange
    By tkeeton7885 in forum General Surgery
    Replies: 0
    Last Post: 04-02-2009, 05:09 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.