Hello: Our physician states he did an Rt video-assisted thoracosopic surgery, wedge resection of multiple blebs of Rt Upper Lobe plus Superior Segment of Rt Lower Lobe plus mechanical and talc pleurodesis.
Video thoracoscope was passed under vision, one bleb was identified which seemed to be leaking. A wedge resection of the was carried out, and subsequently, mechanical pleurodesis & talc pleurodesis of the whole pleural cavity ws carried out. Howerver, after we placed chest tube, we noticed significant air lead, Therefore, we reposition the videoscope and identified antoher bleb which as obviously leaking. This was resected using Endo-Gia staple with pericardial buttresses. there was another bleb in the rt lower lobe which was similarly excised. Confirmation done and chest tubes then placed.....
I am proposing codes 32655 & 32650. He thinks 32657 also.. I am not comfortable with coding 32657..My coding software does Not bundle any of these codes; I would really appreciate any insite on this...
Video thoracoscope was passed under vision, one bleb was identified which seemed to be leaking. A wedge resection of the was carried out, and subsequently, mechanical pleurodesis & talc pleurodesis of the whole pleural cavity ws carried out. Howerver, after we placed chest tube, we noticed significant air lead, Therefore, we reposition the videoscope and identified antoher bleb which as obviously leaking. This was resected using Endo-Gia staple with pericardial buttresses. there was another bleb in the rt lower lobe which was similarly excised. Confirmation done and chest tubes then placed.....
I am proposing codes 32655 & 32650. He thinks 32657 also.. I am not comfortable with coding 32657..My coding software does Not bundle any of these codes; I would really appreciate any insite on this...