AHA Coding Clinic® for ICD-9 - 1994 Fourth Quarter

Pleuroperitoneal Shunt

Pleuroperitoneal shunting is considered an alternative palliative method in treating intractable pleural effusions, both benign and malignant, and also chylothorax. The shunt is a single-unit silicone rubber conduit consisting of a unidirectional valved pumping chamber located between fenestrated pleural and peritoneal catheters. Manual compression is required because pleural pressure is lower than peritoneal pressure. This procedure can be performed under local or general anesthesia. Effective October 1,1994, a new code, 34.05, Creation of pleuroperitoneal shunt, has been created. Use of this new code replaces previous advice to assign code 34.09, Other incision of pleura, for pleuroperitoneal...

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