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Q&A VATS procedures

Lori LaClair

New Member
I would love to hear some discussion on the differences of the diagnostic/therapeutic wedge resections (32666 - 32668) and also the wedge resections/biopsies (32607-32608). There is a lot of confusion with these codes between our coders, surgeons, and auditing department. Many times the surgeons will leave out wording such as 'complete resection' or 'attention to margins' and we have been told to then code it as a 32608 (for a lung mass) - even though the number of incisions and the rest of the op note and path report matches the description for a therapeutic wedge. The reimbursement is considerably different and this is causing a great deal of stress between departments. I'd really enjoy some information on this!!
 
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