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Not sure what to code & what not to

  1. #1
    Exclamation Not sure what to code & what not to
    Medical Coding Books
    CardioThoracic Surgery

    The surgeon has listed Flexible fiberoptic bronchoscopy, Mediastinoscopy, Right upper lobe wedge resection, Bilobectomy of the RT middle & lower lobes.

    I'm really confused as to what I need to code. Can someone please help me out? Thanks.

  2. Default
    You need to use 32482, 32500-59 for sure. 31622-59, I would think & the mediastinoscopy will depend on if it was diagnostic or if it started as this then converted to a thoracotomy

  3. Default
    I disagree slightly. I would not bill 31622 and I would bill 39400. The bronchoscopy is a" separate procedure" & should not be billed with any excision of the lung. Truth be told, the surgeon probably only did it to" get a lay of the land," I think every surgeon does this prior to a chest procedure.

    I think you should bill for the mediastinoscopy because the surgeon made a separate incision to do this and my guess is that he was doing it to see if the cancer has spread to the lymph nodes (because if it had, I don't think they would have proceeded with the bilobectomy).

    So, my final codes would be 32482, 32500-59, 39400.

    Lisi, CPC

  4. #4
    Thanks to both of you for your advice. I really appreciate it.

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