tci ED Coding & Reimbursement Alert - 2024 Issue Q2

Reader Questions: Know Thoracentesis Definition for Clearer Coding

Question: Encounter notes indicate that the ED physician inserted a long needle into the space between the lungs and chest wall. They performed this insertion in order to remove fluid from the space. How should I report this encounter? Arkansas Subscriber Answer: This is thoracentesis. You’ll need a bit more information in order to code correctly. Do this: Go back and look at the encounter notes to see if there is any mention of guidance used during the procedure. If there is no mention of guidance, report 32554 (Thoracentesis, needle or catheter, aspiration of the pleural space; without...

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