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VATS Segmentectomy followed by a lobectomy

Date: Jul 29, 2022

Question:

Can you please explain how to correctly code a VATS segmentectomy followed by a lobectomy? The operative note states the following: "The left lower lobe superior segment was then resected with multiple firings of robotic green staplers. This was reported on frozen section to be an adenocarcinoma. As such, we proceeded to complete left lower lobectomy." Would I code just the lobectomy (32663) since it's of the same site, or would I bill 32668 along with 32663? The surgeon does not state wedge resection, but I feel like we should be able to bill for the segmentectomy portion.

Question ID : 17565
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