A patient with a significant past medical history consisting of coronary artery disease and hypertension was found to have a tumor in the chest wall. Resection of left chest wall tumor was performed, including transection of three ribs and partial resection of left diaphragm, left lower lobe lung wedge resection, and left chest wall reconstruction with Gore-Tex mesh. The pathology report indicated mesothelioma in the chest wall and lung. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT codes for this complex procedure include 19271 for the resection of the chest wall tumor involving ribs, 32484-51 for the wedge resection of the lung (with modifier -51 indicating multiple procedures), and 39560-51 for the diaphragm resection (also with modifier -51). The ICD-10-CM codes include C45.7 for mesothelioma of the pleura, I25.10 for chronic ischemic heart disease, unspecified, and I10 for essential (primary) hypertension. These codes accurately reflect the procedures performed and the patient's medical conditions.

A Patient with a Significant Past Medical History Consisting of Coronary