Basic and Advanced Pleural Procedures: Coding and Professional Fees Update for Pulmonologists

Chest. 2020 Dec;158(6):2517-2523. doi: 10.1016/j.chest.2020.08.2070. Epub 2020 Aug 31.

Abstract

There is an evolution of pleural procedures that involve broadened clinical indication and expanded scope that include advanced diagnostic, therapeutic, and palliative procedures. Finance and clinical professionals have been challenged to understand the indication and coding complexities that accompany these procedures. This article describes the utility of pleural procedures, the appropriate current procedural terminology coding, and necessary modifiers. Coding pearls that help close the knowledge gap between basic and advanced procedures aim to address coding confusion that is prevalent with pleural procedures and the risk of payment denials, potential underpayment, and documentation audits.

Keywords: coding; pleural procedure; thoracentesis; thoracoscopy.

Publication types

  • Review

MeSH terms

  • Current Procedural Terminology*
  • Diagnostic Techniques and Procedures* / classification
  • Diagnostic Techniques and Procedures* / economics
  • Humans
  • Pleural Diseases* / diagnosis
  • Pleural Diseases* / economics
  • Pleural Diseases* / therapy
  • Pulmonary Medicine / economics
  • Pulmonary Medicine / methods
  • Pulmonary Medicine / trends
  • Relative Value Scales
  • Thoracic Surgical Procedures* / economics
  • Thoracic Surgical Procedures* / methods