Results 1 to 5 of 5

VATS with lung biopsy

  1. #1
    Northeast Kansas AAPC
    Default VATS with lung biopsy
    Medical Coding Books
    After adequate anesthesia was obtained the patient was placed in the left lateral decubitus position. The right chest was prepped with chlorhexidine and draped in the normal fashion. An incision was made over approximately the seventh intercostal interspace in the anterior axillary line. The subcu tissue was dissected down. Dissection was carried over the top of the rib. The right lung was allowed to desufflate and then the pleural space entered. Under direct vision with the thorascope, two additional thoracoscopic ports superior and posterior to this were placed under direct vision. The lung was mildly inflamed in appearance. A portionof the lower lobe was grasped and elevated.With successful firings f an Echelon stapler, a biopsy was taken. The specimen was removed. A portion was sent for culture and the remainder sent for final pathology. Care was taken to make sure were were a good 2 cm into the parenchym of the lung. Hemostas was assurred. The remainder of the thoracoscopic exploratin was unremarkable. Chest tube was placed through one of the thoracorts. Lung was allowed to desufflate and the thoracoports were removed.

    Looking at 32650 & 32095 - am I anywhere close???

  2. #2
    Default Vats
    According to the documentation your codes do fit the description of the procedures. I have read it over and over. I am not perfect, I hope to see more comment on this case.

    thank you.

  3. #3
    South Bend, Indiana
    Smile VATS thoracoscopy
    I think the code 32602 would be correct. The approach is definitely laparoscopic and a biopsy was done. Nowhere do I see a pleurodesis. The chest tube is bundled into 32602

  4. #4
    Northeast Kansas AAPC
    Looking at 32602 it seems a more accurate code - thanks

  5. #5
    Dover Seacoast New Hampshire
    For this case, bill 32602 only. There is no documentation of a pleurodesis (usually they'll mention talc or even the details of the procedure, which is not usually done unless the patient has pleural effusion), nor would you bill the thoracotomy. The 32602 is a VATS procedure, and always include the incisions for the camera ports. Thoracotomy is an open procedure. VATS are scoped (laparascopic) procedures. Chest tube placement is integral to the main procedure.
    Two good references are Ingenix's Coding Companion, and also check out the Society of Thoracic Surgeons.

    Hope this helps. Pam
    Pam Brooks, MHA, COC, PCS, CPC, AAPC Fellow
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

Similar Threads

  1. Lung biopsy PQRS code
    By BlakeCarswell82 in forum Pathology & Clinical Laboratory
    Replies: 2
    Last Post: 03-19-2015, 08:30 AM
  2. Bronchoscopy, brushing and lung biopsy
    By bill2doc in forum General Surgery
    Replies: 0
    Last Post: 09-17-2012, 01:05 PM
  3. Bronchoscopy, brushings and lung biopsy
    By bill2doc in forum Cardiovascular Thoracic
    Replies: 0
    Last Post: 09-14-2012, 07:29 AM
  4. Lung Mass Biopsy (Needle)
    By bill2doc in forum General Surgery
    Replies: 1
    Last Post: 05-17-2012, 08:49 AM
  5. CT needle biopsy lung
    By fisherdawnmarie in forum Interventional Radiology
    Replies: 2
    Last Post: 11-25-2008, 06:37 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.