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Thoracotomy drainage lung parenchymal&pleural abscess

Date: Dec 19, 2019

Question:

What is the code for the procedure above? and here is the note. Thank you in advance, I performed a standard posterolateral left thoracotomy, shingling the rib in about the fifth intercostal space. The lower lobe was very inflamed and matted down and the upper lobe was relatively adherent as well. With difficulty, I was able to mobilize the lower and upper lobes. There appeared to be 2 abscesses of the lower lobe that are perforated into the pleural space and there were multiple collections of thick yellow pus. There was approximately 1200 mL or more of purulence in a rather small hemithorax. I was able to mobilize the lung and wash the entire space out. The chest wall was rather raw as anticipated and oozy, so we did give him DDAVP. We irrigated with multiple liters of saline. I did obtain cultures. I placed a posterior right angled 28 at the base of the thorax and a more anterior access tube to the apex of 28.

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