Surgery: Respiratory System (Q&A) (April 2010)

April 2010 page 10d Surgery: Respiratory System (Q&A) Question: What is the correct CPT code to report the insertion of a pleuroperitoneal shunt? Answer: There is no specific CPT code to describe the insertion of a pleuroperitoneal shunt, therefore, either code 49999, Unlisted procedure, abdomen, peritoneum and omentum, or 32999, Unlisted procedure, lungs and pleura should be reported to describe the whole procedure. Usually, the procedure is performed during thoracoscopy and under general anesthesia. The shunt catheter, either an active version that requires frequent activation of a manual pump (Denver pleuroperitoneal shunt) or a passive version (LeVeen pleuroperitoneal...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This April 2010 CPT Assistant Q&A article reviews coding questions in the respiratory surgery area and adjacent anatomic sites. It is aimed at coders and billers who need to understand how the article frames reporting for procedures that may not have a specific CPT code, and how the discussion compares related CPT options in a same-session scenario. The article focuses on broad coding guidance, code-set selection, and reporting considerations for unlisted procedures.

Why This Topic Matters

It helps coding professionals determine whether a premium discussion is relevant when they encounter uncommon respiratory or upper aerodigestive procedures and need to understand how the article approaches CPT reporting at a high level.

Article Sections

  1. April 2010 page 10d

    Publication and page information for the Q&A content.

  2. Surgery: Respiratory System (Q&A)

    Introductory Q&A material covering respiratory surgery coding questions and related CPT reporting topics.

  3. Pleuroperitoneal shunt insertion

    A question-and-answer segment focused on reporting an uncommon shunt-related procedure and the use of unlisted procedure codes when no specific CPT code is available.

  4. Tonsillectomy, palatal implants, and uvular coagulation at the same session

    A same-session coding discussion involving an adult tonsil procedure together with palate and uvula services, with emphasis on code-set selection and unlisted-procedure reporting.

What You Will Learn

  • How the article treats uncommon procedures that may lack a dedicated CPT code
  • Which general coding scenarios in respiratory surgery and related anatomy are discussed
  • How the article frames same-session reporting questions involving multiple procedures
  • What types of unlisted-procedure topics are covered in the Q&A format

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing specialists
  • Compliance staff
  • Physician practice managers

Codes Discussed

  • CPT: 49999
  • CPT: 32999
  • CPT: 42826
  • CPT: 42299
  • CPT: 42160

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