Wiki Thymectomy and resection of mediastinal mass

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ndriley10

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I'm working on a complicated surgery that involves the following:

PROCEDURE PERFORMED:
1. Sternotomy and complex resection of anterior mediastinal mass with en bloc left upper lobe wedge resection, resection of a portion of left phrenic nerve and portion of pericardium.
2. Reconstruction of 8 x 9 cm pericardial defect with 1 mm Gore-Tex patch.
3. Complete thymectomy.
4. Thoracoscopic-assisted resection of pleural and diaphragmatic nodules.

The codes I'm considering are 60522, 39220, 32608. I also am questioning 33030 for the pericaridal work. Any thoughts or suggestions?:confused:
 
From what info you've written, you're on the right track....60522,39220,32608 (maybe 32609 if he biopsied them being in the pleural), but on the 33033, I would question that as well, with that code it states" taking care to leave the phrenic nerves intact". I would need to read the whole op report to make a judgement tho. Did the nodules path come back as anything?

Dorinda V., CPC
 
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