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Chest wall resection/plastic reconstruction NO tumor

  1. #1
    Default Chest wall resection/plastic reconstruction NO tumor
    Clearnace Sale
    Hi all-
    My doc did a limited chest wall resection and reconstruction using a small piece of PTFE. The diagnosis is an upper lobe cavitary lesion and in order to get to it he had to resect ribs 5 and 6. I used 19271 even though there was no tumor involvement in the chest. I can't find another code anywhere for this. Any suggestions? (My doc hates unlisted codes and the patient has Medicare). Thanks!

  2. #2
    Central Philadelphia chapter
    This is hard to code without the opnote. You should have the Doc look around the Lungs and Pleura, ie: 32504.

  3. #3
    Michelle-I looked at that code as well. The only reason I didn't use it is because of the crosscodes. The patient has a cavitary lesion and a lobectomy was done. I suppose it's of 6 of one half a dozen of another at this point... Neither code is exactly correct for what was done, but I think the 19271 describes what he did better. I guess I'll send it in with the op notes and see what happens. Thanks for getting back to me!

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