Please note this question was answered in 2018. The coding advice may or may not be outdated.
Pleural Tunneled Catheter Exchange
Date: Feb 1, 2018
Question:
Would unlisted code 49999 be used for a pleural tunneled catheter exchange? "A 0.035 stiff guidewire was inserted through the existing tunneled catheter to secure access. The cuff of the existing catheter was dissected away from the surrounding skin and mobilized. The old Aspira catheter was retrieved over the stiff Glidewire. A new Aspira catheter was then advanced over the Glidewire into the loculated pleural collection. The new catheter was sutured to the skin."
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