Ask Dr. Z

Dr. Z Can I code both 32422 and 32511 with guidance or is 32422 and 76942 more appropriate. If I can code both 32422-59 & 32511 do I code only one guidance 75989? Under real-time ultrasound guidance an 18-gauge Yueh needle was inserted into the right pleural space and approximately 10 mL of amber colored fluid was removed from the pleural space. Then a 0.035-inch wire stiff Glidewire was advanced through the Yueh catheter into the right pleural space. The tract was dilated to 8-French and an 8-French pigtail drainage tube was advanced into the right pleural space. The pigtail was formed and locked into position. The pigtail was left to external suction drainage. thanks, :)