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HISTORY: The patient is a 75-year-old man with stage IV gastroesophageal junctio

ID: 3516983 • Letter: H

Question

HISTORY: The patient is a 75-year-old man with stage IV gastroesophageal junction carcinoma. He developed severe respiratory distress and was brought to the hospital emergency department and admitted. A large left pleural effusion was noted on CT scan and chest x-ray. His condition progressed to acute hypoxic respiratory failure, and he required intubation and mechanical ventilation for 25 hours. A chest tube insertion was recommended to relieve the patient's hypoxic respiratory failure caused by the left pleural effusion, and the patient consented to the procedure. DESCRIPTION OF PROCEDURE: The patient was placed in the supine position in the medical intensive care unit on propofol drip. His left anterior chest was prepped and draped. One percent plain Xylocaine was given, and a small incision was made. Using the hemostat, the chest cavity was entered and fluid was returned. Then, using the trocar, the chest tube was placed in the superior portion of the left upper lobe. There was approximately 1,000 mL of fluid returned. The patient tolerated the procedure well, and the chest tube was sewn in place. A follow-up chest x-ray confirmed good positioning of the tube, and a decrease in the amount of pleural effusion was noted. Cytology examination of the pleural fluid did not show malignant cells.
What are the 3 CPT codes?? HISTORY: The patient is a 75-year-old man with stage IV gastroesophageal junction carcinoma. He developed severe respiratory distress and was brought to the hospital emergency department and admitted. A large left pleural effusion was noted on CT scan and chest x-ray. His condition progressed to acute hypoxic respiratory failure, and he required intubation and mechanical ventilation for 25 hours. A chest tube insertion was recommended to relieve the patient's hypoxic respiratory failure caused by the left pleural effusion, and the patient consented to the procedure. DESCRIPTION OF PROCEDURE: The patient was placed in the supine position in the medical intensive care unit on propofol drip. His left anterior chest was prepped and draped. One percent plain Xylocaine was given, and a small incision was made. Using the hemostat, the chest cavity was entered and fluid was returned. Then, using the trocar, the chest tube was placed in the superior portion of the left upper lobe. There was approximately 1,000 mL of fluid returned. The patient tolerated the procedure well, and the chest tube was sewn in place. A follow-up chest x-ray confirmed good positioning of the tube, and a decrease in the amount of pleural effusion was noted. Cytology examination of the pleural fluid did not show malignant cells.
What are the 3 CPT codes?? HISTORY: The patient is a 75-year-old man with stage IV gastroesophageal junction carcinoma. He developed severe respiratory distress and was brought to the hospital emergency department and admitted. A large left pleural effusion was noted on CT scan and chest x-ray. His condition progressed to acute hypoxic respiratory failure, and he required intubation and mechanical ventilation for 25 hours. A chest tube insertion was recommended to relieve the patient's hypoxic respiratory failure caused by the left pleural effusion, and the patient consented to the procedure. DESCRIPTION OF PROCEDURE: The patient was placed in the supine position in the medical intensive care unit on propofol drip. His left anterior chest was prepped and draped. One percent plain Xylocaine was given, and a small incision was made. Using the hemostat, the chest cavity was entered and fluid was returned. Then, using the trocar, the chest tube was placed in the superior portion of the left upper lobe. There was approximately 1,000 mL of fluid returned. The patient tolerated the procedure well, and the chest tube was sewn in place. A follow-up chest x-ray confirmed good positioning of the tube, and a decrease in the amount of pleural effusion was noted. Cytology examination of the pleural fluid did not show malignant cells.
What are the 3 CPT codes??

Explanation / Answer

3 CPT codes:current procedural terminology, : it is medical code set that is used to report medical , surgical,and diagnostic procedures and services to entities such as physicians , health insurance companies and accrediationorganization, cpt codes are used in conjunction with ICD -9 - CM or ICD-10-CM, numerical diagnostic coding during the electronic medical billing process, they are 3 types of CPT codes they are category1,2 and 3, CPT is a registered trademark of the American Medical Association, category1: procedures and contemporary medical practices : it covers procedures and contemporary medical practices that are widely performed it is five digit numeric codes that identify a procedure or service that is approved by the FDA, performed by healthcare professionals nationwide and is proven and documented., it is divided into 6 sections they are, a) evaluation and management, b) anesthesiology, c)surgery, d)radiology, e)pathology and laboratory, e) medicine. category2: it consists of the supplementary tracking codes that are used for performances measures and are intended to help collect information about the quality of care delivered. its use is optional. category 3: it lists consists of temporary codes that cover emerging technologies services and procedures. it differ from category 1 is that they identify services that may not be widely performed by healthcare professionals may not have FDA approval and also may have proven clinical efficacy , the purpose of these codes is to help researchers track emerging technologies and services.