CPT^® 39010, Under Incision Procedures on the Mediastinum

The Current Procedural Terminology (CPT^®) code 39010 as maintained by American Medical Association, is a medical procedural code under the range - Incision Procedures on the Mediastinum.

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Summary

The provider opens and inspects the mediastinum through an approach called a mediastinotomy. He reaches the mediastinum by incising either the thorax, or the sternum, or breastbone. He inspects the mediastinum, removes any foreign body that may be present, drains any fluid collections, and may take a sample of the adjacent tissue for detection of disease.

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33020 vs. 39010

Hello, I'm a cardiothoracic coder and I have a surgical question. Could someone please help explain the difference between 33020 (Pericardiotomy for removal of clot or foreign body), and 39010 (Medias... [ Read More ]

Chamberlain Procedure

I'd say look at 39010... [ Read More ]

Post-op chemo and subsequent visits chemo inpatient modifiers

Any thoughts on this would be much appreciated. We have received several denials for subsequent hospital visits as "“Pre/post-operative care payment is included in the allowance for the surgery/pro... [ Read More ]

New Coder needing help-Chamberlain procedure

Procedure: 1. Right anterior Chamberlain procedure with evacuation of pericardial effusion 2. Incision and drainage of lower sternal incision, skin and soft tissue 3. Removal of sternal wire x1 I ... [ Read More ]

sternotomy please help

[QUOTE="KHYATT@2016, post: 444984, member: 117131"]Post operative diagnosis: Same, cardiac tamponade, acute cardiovascular decompensation with induction of anesthesia requiring CPR, tortuous right il... [ Read More ]

sternotomy please help

Post operative diagnosis: Same, cardiac tamponade, acute cardiovascular decompensation with induction of anesthesia requiring CPR, tortuous right iliac artery * Operation: #1. Emergency Median sterno... [ Read More ]

CPT help

I think 39010 would be appropriate for this.... [ Read More ]

CPT help

Preop diagnosis: Coagulopathy, status post aortic dissection surgery Postop diagnosis: Coagulopathy, status post aortic dissection surgery. procedure performed: 1. Removal of retained mediastinal spo... [ Read More ]

Mediastinotomy

Hello! I am hoping someone could point me in the right area. I have a note from a practice exam and going between 2 CPT codes. [B]Postoperative Diagnosis:[/B] Sarcoid and new onset paratracheal aden... [ Read More ]

Thoracotomy - need help

I would agree with Dorinda, the 32100 seems most appropriate. I would not select the 39010 because that's not what the doctor did. His approach was a thoracotomy not through the mediastinum.. -Meli... [ Read More ]

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