Please note this question was answered in 2015. The coding advice may or may not be outdated.
Coil Localization
Question:
How would you code coil localization? "Indication: 1.1 cm nodule rt lung (near the fissure rt middle lobe) preop coil localization requested. A pleural catheter is placed and secured (this was coded with CPT 32557). From a separate antral lateral approach site for coil localization was sterilely prepped all the way down to the pleura at the intercostal space. Unfortunately the lesion is deep to the patient's breast tissue requiring an approach through the breast . A 20 gauge Chiba needle was inserted and advanced to the periphery of the lesion. The localization coil was then partially deployed with the central aspect immediately adjacent to the lesion at the ant/sup/medial margin of the sm nodule. Needle Cobb off including the remainder of the long coil, was then withdrawn, pneumothorax enlarged with pleural air injection, and the remainder of the coil was deposited within the pleural space. Ndl removed. Pneumothorax aspirated and final CT images performed. Pleural cath left in place in case pt develops visceral pleural leak before entering OR."
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