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Thread: Wedge Resection

  1. #1

    Default Wedge Resection

    AAPC: Back to School

    We have a physican who is performing a thorascopic lung procedure. During the procedure he is not able to locate the nodule/lesion and extends the incision to insert his hand to locate the nodule/lesion before performing a wedge resection. The thorascope is still inserted, would you code this procedure as a thorascopic or open procedure.

    Thank you for your help.


  2. #2
    Join Date
    Apr 2007
    Kansas City, MO


    How did he end up taking the resection? If the thoracoscopy was involved, I would not code as open.
    Look for signs that the scope was used primarily...or was it just to "take a look" during/after an procedure open.


  3. #3

    Default Wedge Resection


    The physician indicates he spreads the ribs apart with his hands and then resects the nodule/tumor using the thorascope as a visual aid. He indicates he does not use the thorascope with any instrumentation once he extends the incision and places his hand inside.


  4. #4



    AS per documentation, he does not use the thorascopy, he extended the incision site and place his hand...i think there is no scope involved?

    Nalini CPC

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