Pulmonology Coding Alert

Observe these pointers for reporting additional procedures.Last month, we provided a refresher on accurately reporting thoracentesis. In this issue, we'll address how to report other procedures that are done along with thoracentesis, such as the radiological assistance for the procedure and E/M services. Read on for more advice on boosting your coding accuracy and recouping deserved pay for these additional services. Know the basics: Thoracentesis is a procedure done under local anesthesia to remove fluid or air present in the pleural space. Depending on whether the procedure is done for diagnostic or therapeutic purposes, you report thoracentesis with 32421 (Thoracentesis, puncture of pleural cavity for aspiration, initial or subsequent) or 32422 (Thoracentesis with insertion of tube, includes water seal [e.g., for pneumothorax], when performed [separate procedure]).Report the Radiologic AssistanceYour pulmonologist may take a chest x-ray to confirm the effusion. In addition, he/she may utilize ultrasound guidance to place the catheter [...]