A 66-year-old female with CHF, atrial fibrillation, and type II diabetes was admitted with right pleural effusion demonstrated on x-ray, as well as shortness of breath and dyspnea on exertion. A video-assisted thoracic surgery (VATS) pleurodesis was performed. A 10-mm port was placed and the effusion was drained by placing a sucker into the port site. An additional anterior port was then placed in similar fashion and the effusion was drained with a sucker. A 32 curved chest tube was placed and secured with nylon. The other port site was also closed. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT code for a video-assisted thoracic surgery (VATS) pleurodesis is 32650. The ICD-10-CM codes accurately reflect the patient's conditions: I50.9 for CHF (Congestive Heart Failure), J91.8 for pleural effusion in diseases classified elsewhere (related to her CHF), I48.91 for unspecified atrial fibrillation, and E11.9 for type II diabetes without complications.

A 66-Year-Old Female with CHF, Atrial Fibrillation, and Type II