• Chest · Dec 2020

    Review

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

    • Neeraj R Desai, Kim D French, and Kevin L Kovitz.
    • Chicago Chest Center, Elk Grove Village, IL; AMITA Health, Lisle, IL; Department of Medicine, Division of Pulmonary, Critical Care, Sleep and Allergy, University of Illinois at Chicago, Chicago, IL. Electronic address: desai@chestcenter.com.
    • Chest. 2020 Dec 1; 158 (6): 2517-2523.

    AbstractThere 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.Copyright © 2020. Published by Elsevier Inc.

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