Ask Dr. Z

I have a patient who had a lung bx at 13:05. At the time of the bx, he had a large pleural effusion. Following the bx, he developed a hydropneumothorax which resulted in the low oxygen saturation. The patient was brought back to the angiography suite for placement of chest tube. Because of his effusion as well as pneumothorax, a decision was made to place two cathers, one for drainage of the effusion (right lower pleural cavity) and one for the drainage of the pneumothorax (upper pleural cavity) at 17:53. DOS - 08/11/11 Coded as: 32405 - lung bx 77012 - CT guidance 32551 - thoracostomy tube 75989-26 - imaging guidance for tube 32551-59 - 2nd thoracostomy tube 75989-26-59 - 2nd imaging guidance for tube What would be the proper modifiers in this scenario?