Open Lung Biopsy: Difference between revisions
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#An '''open lung biopsy''' is performed via a surgical incision in the chest. When they open the lung area, they use a scope to examine the lung which is a thoroscopy. | #An '''open lung biopsy''' is performed via a surgical incision in the chest. When they open the lung area, they use a scope to examine the lung which is a thoroscopy. | ||
#*We do track open lung biopsy specifically. | #*We do track open lung biopsy specifically. | ||
#A needle lung biopsy, or '''percutaneous lung biopsy''', is performed by passing a biopsy needle through the skin into the lung. May or may not require fluroscopic or CT guidance. ****so we dont code EBUS | #A needle lung biopsy, or '''percutaneous lung biopsy''', is performed by passing a biopsy needle through the skin into the lung. May or may not require fluroscopic or CT guidance. ****so we dont code EBUS (Endobronchial Ultrasound) | ||
***** was that a question or a statement, Shirley? | |||
#* '''we do not track these'''. Please do not code them as 777-90 [[Other Pulmonary/Thoracic OR]]. | #* '''we do not track these'''. Please do not code them as 777-90 [[Other Pulmonary/Thoracic OR]]. | ||
#A '''bronchoscopic lung biopsy''' is performed using a bronchoscope, and may or may not require fluoroscopic or CT guidance. | #A '''bronchoscopic lung biopsy''' is performed using a bronchoscope, and may or may not require fluoroscopic or CT guidance. | ||
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We are not tracking if a biopsy was taken during a bronchscopy. If anyone wants to know down to that level of detail, then we advise them they will have to audit bronch cases to drill down further on their own.[[User:TOstryzniuk|Trish Ostryzniuk]] 18:08, 2014 April 23 (CDT) | We are not tracking if a biopsy was taken during a bronchscopy. If anyone wants to know down to that level of detail, then we advise them they will have to audit bronch cases to drill down further on their own.[[User:TOstryzniuk|Trish Ostryzniuk]] 18:08, 2014 April 23 (CDT) | ||
=== Pleurodesis === | |||
* 5/8/2007 Dr Gray stated ignore the method of entry thoracotomy /thoracoscopy and call them all open lung biopsy plus or minus pleurodesis so do we still code pleurodesis under open lung biopsy? | |||
**no. Pleurodesis is a specific procedure to artificially obliterate the pleural space. A biopsy is the act of taking a sample of tissue for testing. --[[User:TOstryzniuk|Trish Ostryzniuk]] 17:15, 2015 July 7 (CDT) | |||
*** how should we code pleurodesis? (Shirley) | |||
Revision as of 09:58, 8 July 2015
Legacy Content
This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Click Expand to show legacy content.
| edit dx infobox | |
| Category/Organ System: |
Category: Pulm\Thoracic-OR (old) |
|
Type: |
|
| Main Diagnosis: | OPEN LUNG BIOPSY |
| Sub Diagnosis: | Open Lung Biopsy |
| Diagnosis Code: | 772-00 |
| Comorbid Diagnosis: | No |
| Charlson Comorbid coding (pre ICD10): | 0 |
| Program: | Critical Care and Medicine |
| Status: | Currently Collected
|
NOTE: A lung biopsy is a procedure that involves obtaining a tissue specimen from the lungs for microscopic analysis to establish a precise diagnosis.
There are three types of lung biopsies:
- An open lung biopsy is performed via a surgical incision in the chest. When they open the lung area, they use a scope to examine the lung which is a thoroscopy.
- We do track open lung biopsy specifically.
- A needle lung biopsy, or percutaneous lung biopsy, is performed by passing a biopsy needle through the skin into the lung. May or may not require fluroscopic or CT guidance. ****so we dont code EBUS (Endobronchial Ultrasound)
- was that a question or a statement, Shirley?
- we do not track these. Please do not code them as 777-90 Other Pulmonary/Thoracic OR.
- A bronchoscopic lung biopsy is performed using a bronchoscope, and may or may not require fluoroscopic or CT guidance.
- see Bronchoscopy/Laryngoscopy. We track the scope however, we do not track if a biopsy was taken during the scope. Please do not code 777-90 Other Pulmonary/Thoracic OR along with the Bronchoscopy.
We are not tracking if a biopsy was taken during a bronchscopy. If anyone wants to know down to that level of detail, then we advise them they will have to audit bronch cases to drill down further on their own.Trish Ostryzniuk 18:08, 2014 April 23 (CDT)
Pleurodesis
- 5/8/2007 Dr Gray stated ignore the method of entry thoracotomy /thoracoscopy and call them all open lung biopsy plus or minus pleurodesis so do we still code pleurodesis under open lung biopsy?
- no. Pleurodesis is a specific procedure to artificially obliterate the pleural space. A biopsy is the act of taking a sample of tissue for testing. --Trish Ostryzniuk 17:15, 2015 July 7 (CDT)
- how should we code pleurodesis? (Shirley)
- no. Pleurodesis is a specific procedure to artificially obliterate the pleural space. A biopsy is the act of taking a sample of tissue for testing. --Trish Ostryzniuk 17:15, 2015 July 7 (CDT)