tci General Surgery Coding Alert - 2004 Issue 3

You Be the Coder: Is Biopsy Included in Lobectomy?

Question: The surgeon took a wedge biopsy of the lung and sent it to pathology. The biopsy was positive for malignancy, and the surgeon performed a lobectomy. Should I could for both the biopsy and lobectomy, or only for the lobectomy?Maine Subscriber Answer: In this case, you may report both the wedge biopsy (32500, Removal of lung, other than total pneumonectomy; wedge resection, single or multiple) and the subsequent lobectomy (32480, ... single lobe [lobectomy]). Rules outlined in the narrative portion of the National Correct Coding Initiative (NCCI) state, "When, in the course of a procedure, a non-diagnostic...

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