Medical Coding

Category - 30,000 Series

A physician performed a mediastinotomy on a 54-year-old female via cervical approach. Once access was gained, the physician removed the foreign body from a shrapnel injury ten years prior and biopsied a suspicious polyp near the foreign body site. What is the correct code for this mediastinotomy?
  1. 39000
  2. 39010
  3. 39400
  4. 39499
Explanation
Answer: A - The correct code for the mediastinotomy is 39000 (Mediastinotomy with Exploration, Drainage, Removal of Foreign Body, or Biopsy; Cervical Approach). There are only two mediastinotomy codes, 39000 and 39010. Code 39010 is for a mediastinotomy via transthoracic approach, not a cervical approach.
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