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 the procedures described are 21602 (resection of chest wall tumor including ribs), 32484-51 (wedge resection of the lung, with modifier -51 indicating multiple procedures), and 39560-51 (reconstruction of the chest wall with synthetic material, also with modifier -51). The ICD-10-CM codes accurately reflect the patient's conditions: C45.7 for mesothelioma of the chest wall, I25.10 for chronic ischemic heart disease (coronary artery disease), and I10 for hypertension.

A Patient with a Significant Past Medical History Consisting of Coronary