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Resection of paravertebral mass

  1. #1
    Location
    Woodbridge, Virginia
    Posts
    72
    Red face Resection of paravertebral mass
    Medical Coding Books
    Help! I am stumped on this one...

    My surgeon did a thoracotomy with resection of a paravertebral mass. An orthopedic surgeon was on standby, but no laminectomy or hemilaminectomy was necessary.

    Thanks!

  2. Default
    What about 21932 -21936 depending on size and pathology?

  3. #3
    Location
    North Carolina
    Posts
    3,126
    Default
    I'm going to take a stab...

    Does the operative note support 63302?

    63302=The physician removes all or part of one vertebra in the upper back that contains a lesion lying outside of the dura. The vertebra is accessed through the side of the chest cavity.

    Notes:
    Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment :

  4. #4
    Location
    Woodbridge, Virginia
    Posts
    72
    Default
    I BELIEVE THAT THE CODES 21930-21936 ARE FOR SOFT TISSUE RESECTION ONLY.
    I DO NOT THINK A THORACOTOMY WOULD NEED TO BE DONE FOR THESE CPT CODES. AM I RIGHT ABOUT THAT??

    NO VERTEBRA NEEDED TO BE REMOVED AS WELL.

    THANKS FOR YOUR HELP! DOES ANYONE HAVE ANY OTHER IDEAS?

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