Angel Posted Thu 07th of March, 2019 15:48:58 PM
Hello, My surgeon performed a Right VATS diaphragm plicaton. I cannot find the correct code for this procedure. I am leaning toward an unlisted code but would like to make sure. DESCRIPTION OF PROCEDURE: A 12 mm incision was placed at the tip of his scapula, this was extended a couple of millimeters to allow for a 12 mm trocar. A finger was inserted and swept. The lung has been isolated at this point and 10 mm, 30 degree scope was inserted. A second incision was placed anteriorly, 12 mm in size in a more posterior position. Working between the 2 ports the diaphragm was inspected. It was noted to have redundant tissue. A 2-0 Ethibond pledgeted suture was then inserted via the port and a plication stitch was applied allowing the diaphragm tissue to accordion together. Once both arms of the pledgeted suture had been placed repeatedly through the diaphragm, the needles were brought out and a pledget was inserted on the opposite side and the sutures were then tied using a COR-KNOT device. This procedure was repeated numerous times to bring the diaphragm until it was taut.
SuperCoder Answered Fri 08th of March, 2019 02:51:57 AM
Since there is no code for VATS diaphragm plication, an unlisted code 39599 (Unlisted procedure, diaphragm) should be reported.
Please feel free to write if you have any question.