Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Practice Exam

CPC Practice Exam and Study Guide Package

Practice Exam

What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page

Practice Exam

2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Chest Tube Repositioning

I am trying find the right code for a patient that had a chest tube placed, but then had to have it repositioned during the global period. Provider A originally placed the chest tube, but then provider B, from the same practice, removed and repositioned the chest tube, using the original incision. Can provider B code the removal and also the insertion if modifier 77 or 78 were added?

Here is the OP note:

POST ADMISSION PHYSICAL EVALUATION:
Patient with the dizziness increased shortness of breath and a worsening chest x-ray with accumulation of pleural effusion on the right side question of placement of previous chest tube will reevaluate and change chest tubes.

PREPROCEDURE DIAGNOSES:
Hemothorax/pleural effusion

RATIONALE FOR PROCEDURE:
Accumulation of pleural fluid with shortness of breath and increase hypotension

PROCEDURE IN DETAIL:
Under L control and sterile conditions using aseptic technique and after obtaining informed consent from patient timeout was called and #24 French chest tube was prepped and the previous chest tube was withdrawn without any difficulties. Aiming to go above the rib between the fifth and fourth space blunt dissection with finger as well as with hemostats was done until obtaining good placement. Chest tube was introduced without difficulties obtaining a spontaneous drainage of the dark blood fluid for approximately 500 cc. Chest tube was placed on Pleur-evac with suction and a total of 1000 cc were drained. No bright red blood was observed. No evidence of air leak was found. Patient was kept on Pleur-evac with suction. Chest tube was sutured in place and dressed without difficulties patient tolerated well procedure chest x-ray was reviewed next of kin was notified as well.

POSTPROCEDURE CONDITION:
Patient with O2 saturation above 100% with the 4 L nasal cannula blood pressure heart rate stable patient alert and answering questions appropriately in no distress. Chest x-ray showed chest tube in good place.

Medical Billing and Coding Forum