The patient is a 61-year-old man recently discovered to have left hemithorax malignant mesothelioma involving the diaphragm. After resection of the tumor, including the pleura and lymph nodes, the patient underwent extensive intraoperative photodynamic therapy of the left diaphragm, the pericardium and the left pleura to eliminate any evidence of microscopic disease. What is the appropriate root operation for the photodynamic therapy?
“Destruction” is the appropriate root operation for photodynamic therapy. In this case, the pleura and all visible tumor was grossly resected. Photodynamic therapy was then used to destroy any remaining microscopic tumor cells. Unique ICD-10-PCS codes should be assigned for each anatomic site treated, such as diaphragm, pericardium and pleura. Assign the following procedure codes for the photodynamic therapy:
0B5S0ZZ Destruction of left diaphragm, open approach
025N0ZZ Destruction of pericardium, open approach
0B5P0ZZ Destruction of left pleura, open approach