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Thread: Thoracentesis coding

  1. #1

    Question Thoracentesis coding

    AAPC: Back to School
    Can someone please tell me what we (Radiology-hospital) should be coding when an outside doc(not a Radiologist)performs the thoracentesis and we provide the u/s guidance. He bills the procedure, but, we can't bill the u/s guidance w/o the procedure. So, what should we be charging???
    Michele M. Lamb, R.T(R)(MR), CPC, CPC-H

  2. #2
    Join Date
    Apr 2007

    Default Thoracentesis coding

    We use...
    Hospital codes- 76942 and 32422 or 32421


  3. #3


    Thanks for your help but those are the codes we would use if our Radiologist performed the thoracentesis. I need a code for just the u/s guidance portion. My problem is I know we can't just charge u/s guidance (76942) w/o the thoracentesis(32422-32421) codes and that is exactly what I need to do.
    Last edited by mlamb; 05-25-2010 at 09:16 AM.
    Michele M. Lamb, R.T(R)(MR), CPC, CPC-H

  4. #4
    Join Date
    Apr 2007

    Default Thoracentesis coding

    The Hospital should be getting the technical charges so it would be 76942 and 32422 or 32421. The Doc would be charging the PC and the Hosp would be charging the TC.

  5. #5


    Gotcha. After further investigation, that is exactly what should be happening. Thanks for help and input.
    Michele M. Lamb, R.T(R)(MR), CPC, CPC-H

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