Results 1 to 2 of 2

Chest Tube Injection

  1. #1
    Default Chest Tube Injection
    Medical Coding Books
    I'm having a tough time with this report. I got 76942/32422 for the thoracentesis but I'm not sure what to use for the injection.

    History: Patient is a 54 yr old female w/symptomatic bilateral pleural effusions. Patient has a right sided aspira catheter which is poorly draining. patient presents for ultrasoun guided thoracenesis.
    Ultrasound evaluation of the left chest reveals a moderate left pleural effusion. An image is on file in radiology.
    Using ultrasound guidance a 5-French multi-sidehole catheter was inserted into the pleural effusion from a inferolateral posterior approach. Approximately 500 ml of bloody fluid was obtained. The fluid was sent for appropriate lab studies.
    Ultrasound evaluation of the right chest reveals a small right pleural effusion. An image is on file in radiology. I flush the right chest tube. I was unable to aspirate fluid. I then injected 10 mg of TPA in 25 ml of normal saline into the right chest tube. This will infuse for 30 minutes.

    Impression: Ultrasound guided left thoracentesis.
    Probable obstruction of the right chest tube. TPA was instilled to clear out the catheter.

  2. #2
    take a look at code 32561...

Similar Threads

  1. chest tube placement
    By ggparker14 in forum Emergency Department
    Replies: 1
    Last Post: 07-04-2012, 11:28 PM
  2. Chest tube removal
    By CRC CPC in forum General Surgery
    Replies: 2
    Last Post: 02-08-2010, 04:52 PM
  3. chest tube injection
    By gladys font in forum Interventional Radiology
    Replies: 2
    Last Post: 08-14-2009, 11:44 AM
  4. Need help with d/c of chest tube
    By staylor64 in forum E/M
    Replies: 5
    Last Post: 06-15-2009, 09:10 AM
  5. chest tube
    By hrsmith in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-18-2009, 07:50 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?


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.