tci ED Coding & Reimbursement Alert - 2006 Issue 9

READER QUESTIONS: Check for Fluoroscopy With Chest Tube Procedures

Question: One of our ED physicians performed a chest tube insertion for a patient she diagnosed with a non-traumatic hemothorax. How should we report this encounter?Indiana Subscriber Answer: To choose the proper codes for this encounter, you-ll need to discover whether the physician used fluoroscopy during the procedure. This will affect your CPT code choice.Check the physician's notes; if she did not use any fluoroscopy on the patient, you should:- report 32020 (Tube thoracostomy with or without water seal [e.g., for abscess, hemothorax, empyema] [separate procedure]) for the hemothorax.- link ICD-9 code 511.8 (Other...

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