Preoperative diagnosis: Atelectasis
Postoperative diagnosis: Same
Procedure performed: Diagnostic thoracentesis
Procedure description: A time-out was performed and the chest x-ray was reviewed, confirming the left side. The patient was prepped and draped in a sterile manner. The appropriate level was percussed and confirmed by ultrasound. 1% lidocaine was used to for local anesthesia. A finger needle was introduced over the superior aspect of the rib to locate the pleural fluid. A 10blade scalpel was used to nick the skin at the insertion site. The Safe-t-Centesis needle was then introduced through the skin incision into the pleural space. The thoracentesis catheter was then threaded without difficulty. Straw-colored transudate was aspirated. The catheter was then removed. No immediate complications were noted during the procedure. A post-procedure chest x-ray is pending at the time of this note. The fluid will be sent for studies.
What is the ICD-10-PCS code assigned?
0W9930Z: Thoracentesis was performed in the pleural cavity and so this ICD 10 PCS CODE can be given.
Preoperative diagnosis: Atelectasis Postoperative diagnosis: Same Procedure performed: Diagnostic thoracentesis Procedure description: A time-out was performed...
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