tci General Surgery Coding Alert - 2001 Issue 12

Differentiate Thoracic Procedures To Ensure Proper Payment

Coding for thoracic procedures involving thoracotomy, which requires opening the patient's chest, and thoracoscopy, a procedure similar to laparoscopy that is performed in the chest rather than the abdomen, can prove a challenge. It's confusing enough that the CPT manual offers a choice of more than 60 codes related to these procedures, let alone the fact that many thoracic procedures can be performed as thoracotomies or thoracoscopies. Medicare and some commercial carriers, in addition, may have specific regulations governing many thoracic procedures, such as lobectomy and bronchoplasty performed during the same session, thoracoscopy converted to an open procedure and...

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