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THIRD REQUEST - REPLACEMENT AND REMOVAL CHEST TUBE SAME SESSION
Question:
What would you code for this - 32557-5276000an E&M?
"Ultrasound chest to evaluate position of indwelling chest tube and pleural effusions. Skin of chest prepped/draped. Under Fluoro guidanceindwelling chest tube was cut/clampedand an amplatz wire was advanced with fluoro guidance and coiled in the pleural space. The existing tube was then removed. A new 12 Fr Resolve catheter advanced over wire and coiled in the pleural space. Wire removed and flush performed with immediate reflux of fluid along tract of catheter. Addt'l. imaging showed no evidence residual cavity from prior pleural drainage.. Discussion....decision made to remove catheter and place vaseline-impregnated gauze. FINDINGS: Fluoro image shows indwelling drainage catheter with adjacent consolidation and pleural thickening. Subsequent replacement of catheter resulted in no additional drainage from chest cavity. CATHETER REMOVED."
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