AAPC - Back to school
Results 1 to 4 of 4

Thread: Mediastinotomy for cardiopulm bypass placement

  1. #1

    Default Mediastinotomy for cardiopulm bypass placement

    AAPC: Back to School
    My surgeon was asked to place a patient on cardiopulmonary bypass so that the primary surgeon could excise a rt renal mass with caval thrombosis extending into the rt atrium.
    My surgeon did a mediastinotomy with placing the pt on aorto atrial femoral bypass. How do I code this???? This is my first post so I hope I"ve done it correctly! Any suggestions would be most apprieciated!!

  2. #2


    I just had to do this with my surgeon. 39010-62 was the code I used. I did not have to do a bypass though. Just looked this all up and nothing about a bypass is mentioned in the procedure. don't know if this will help you or not
    Last edited by rykin7600; 01-05-2012 at 10:10 AM.

  3. #3


    I was going to use the 39010 but with a 66 modifier. All my surgeon did was place pt on bypass.
    Thanks for helping me feel better about my choice of code!

  4. #4
    Join Date
    Apr 2007
    Central Philadelphia chapter


    It sounds like your part of the procedure (mediastinotomy w/placing pt on bypass) is integral component of total procedure. I think you should have coordinated this with the primary surgeon. You should use the codes the primary surgeon uses for excising a rt renal mass with caval thrombosis extending into the rt atrium. Modifier 62 should be appended by both primary surgeons and your surgeon. Your surgeon should do a separate op-note.
    Sorry for late response.

Similar Threads

  1. Perm Cath placement w/ Fistula Placement
    By kbazarte@yahoo.com in forum General Surgery
    Replies: 0
    Last Post: 03-16-2011, 11:30 AM
  2. Carotid subclavian bypass with vertebral bypass
    By cmblocher in forum Cardiovascular Thoracic
    Replies: 0
    Last Post: 05-20-2009, 12:29 PM
  3. EGD w/clip placement and loop placement
    By busydawnis in forum Gastroenterology
    Replies: 2
    Last Post: 05-08-2009, 10:17 AM
  4. Help! bypass
    By cooper1 in forum Cardiovascular Thoracic
    Replies: 1
    Last Post: 04-16-2009, 06:21 AM
  5. Mediastinotomy/ removal of Rib Bone
    By twilson2 in forum Cardiovascular Thoracic
    Replies: 1
    Last Post: 02-27-2009, 03:55 PM

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.