Ask Dr. Z

CT Physician created open drainage via a thoracic window. Starting posteriorly the 7-8th rib space was identified and using cautery the intercostal muscle was removed from the top of the rib. Dissection of pleural space, encountered extremly thick rind, frozen section of pleural was sent to check for malignancy. Resected through the 7th rib to gain more access to the chest cavity. A rongeur was used to removed 5cm segment of rib. Rind was entered and was almost 3 cm thick and was removed to the size of the incision. Debris was sent for cultures. Removed calcified purulent debris. Performed open drainage via a thoracic window. The 8th rib was resected in a similar fashion. Skin edges around the rib resection were marsupialized, muscle was closed and then deep dermis and skin stapled around the window. I think this would be a 32036 except for the fact that this is Thoracotomy. Would it be more descriptive to bill unlisted procedure?