Please note this question was answered in 2021. The coding advice may or may not be outdated.
TPA instilled through Pleural Catheter
Date: Dec 3, 2021
Question:
"The patient had loculated pleural effusion. 30cc syringe of 10 mg tPA was instilled via a Pleurx that was already in place. The Pleurx was clamped for 60 minutes, the clamp was removed, and minimal suction was placed on the Pleur-evac." Is it appropriate to assign code 32561, Instillation, via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion; initial day? Or would an unlisted code be more appropriate?
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