Oper Tech Thorac Cardiovasc Surg 2005;10:231243.). The surgeon must visualize both phrenic nerves during dissection of the thymic lobes off of the pleura and pericardium. c Position of the ultrasound transducer and needle. Tube thoracostomy may be required if a hemothorax develops. But opting out of some of these cookies may affect your browsing experience. NOTE: + signifies an add-on code, a procedure that is in addition to another, or primary, procedure being performed. This time, however, your choice would be the code listed for the cervical approach 39000. It has been commonly used for biopsy of masses and lymph nodes. This chapter therefore examines complications of mediastinal surgery in the context of thymectomy and resection of posterior mediastinal neurogenic tumors. In accordance with procedures recommended by the EORTC, scores were linearly converted to a scale ranging from 0 to 100 for each patient [2,3]. A total of 14 patients underwent thoracoscopic resection using the da Vinci robotic system (Intuitive Surgical, Inc., Mountain View, CA, USA), and 22 patients open resection through sternotomy. . New Name Old Name CPT Code Service BIOPSY OR EXCISION, LESION, FACE AND NECK, USING CO2 LASER EXCISE/BIOPSY . Most mediastinal masses are neoplasms, either benign or malignant, the latter being either of primary growth or metastatic origin. For FREE Trial. A common site of injury during thymectomy is in the subaortic region near the ligamentum arteriosum. This indicates that a multiple procedure was performed. JavaScript is disabled. A new patient, as defined by the CPT manual, is a patient who has not received professional services from a physician, or another physician of the same specialty who belongs to the same group practice, within the past three years. The anatomy of the SVC (Figure 1) and left brachiocephalic vein put this venous system in a critical area vulnerable to tumors arising both in the lung and anterior mediastinum.Malignant invasion is the most frequent indication for SVC resection and reconstruction. When reporting procedures on this list, facilities should capture both the CPT1 code representing the procedure performed and the . The patients were not randomised between the two treatment groups, standard sternotomy being reserved for patients with larger mediastinal masses. You must log in or register to reply here. Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum. He was referred by several physicians for definitive biopsy. Complete thymectomy. We evaluated QoL by the EORTC QLQ-C30 and LC-13 questionnaire. Pediatric Anterior Mediastinal Mass: A Review Article. Special attention is paid to the innominate vein and its thymic tributaries. 300-400 new vignettes are added each year as codes added, revised and reviewed. Have you looked at 32505? endobj Thymomas occasionally extend into the aortopulmonary window, and this is the most frequent site of phrenic nerve involvement (. You also have the option to opt-out of these cookies. The transient lesion of the left recurrent nerve, which occurred in two robotic procedures, was due to dissection of the nerve from the tumours capsule and was not based on limitations of the robotic system. What do scientists find out when they look at fossils? The lower parts are dissected at the end, and, subsequently, the resected specimen is placed in an endobag and removed through the fourth trocar incision. Methods: From January 2004 to December 2008, QoL was prospectively recorded in all patients undergoing surgery for mediastinal tumours. 32550, 32552-51, T85.79XA, C34.31, C34.32 A 78 year-old patient with bilateral, lower lobe lung cancer has been in the hospital for seven days with a tunneled chest tube in place to drain fluid from the pleural space. EXCISION, MASS, MEDIASTINUM, ROBOT-ASSISTED, USING XI RESECTION MEDIASTINAL MASS W XI ROBOTICS *32662 Thoracoscopy, surgical; with excision of mediastinal cyst, For decades, median sternotomy, . 2022 ICD-10-CM Diagnosis Code J98. Ten-year overall survival was similar between the two groups (90.9% after thymectomy and 89.4% after thymomectomy). He has had a bronchoscopy by a physician that showed what appeared to be invasion of the trachea but brushings, washing and biopsy were negative. Operative Indications: The patient is a middle-aged male with early superior vena cava syndrome and evidence of a large mid- and anterior mediastinal mass. The authors are grateful to Gina Clerx, Annelies Buelens, Sarah Balduyck and Annelies Masschelin for their help in the data management. The robotic-assisted resection was performed by a left-sided approach in nine patients (64.3%). Type 2 Excludes. In evaluating robotic-assisted mediastinal surgery, one may not forget that currently, a robotic approach does require more set-up time, is more costly, often requires two surgeons and lacks tactile feedback during dissection. Did the nodules path come back as anything? A boy with an anterior mediastinal mass. Search across Medicare Manuals, Transmittals, and more. Save time with a Professional or Facility subscription! The Current Procedural Terminology (CPT ) code 39220 as maintained by American Medical Association, is a medical procedural code under the range - Excision/Resection Procedures on the Mediastinum. Controversy exists as to whether response rates are similar with each procedure. Operative photograph demonstrates the thymic vein ligated on the inferior border of the brachiocephalic vein. 10 What is the CPT code for resection of a medistinum cyst? Non-parametric variables are reported as means with standard deviation, parametric variables as median with range. The second surgeon places the robotic ports in the lateral mammary fold with one hands breadth between them, while the fourth port is placed more posteriorly, outside this circle. It is an alternative to full sternotomy and provides a less invasive means of resecting small anterior mediastinal masses as well as accessing the thoracic inlet. Again, clinical information such as patient history, clinical diagnosis and operative procedure are the key. When thymic or mediastinal tumors are present in the aortopulmonary window, a hemiclamshell incision or left thoracoscopy may be incorporated to improve exposure, as previously mentioned. 69-1 and. It may not display this or other websites correctly. endstream endobj 251 0 obj <. Excision of neoplasm 370612006. This is in contrast to other publications, where only skin-to-skin times are communicated. As many as 22 patients, who were not considered for robotic-assisted surgery, underwent a conventional median sternotomy as approach for open resection. The recurrence rate was 3.1% after thymectomy and 5.4% after thymomectomy, with no significant difference between the two . As the thymus is dissected off the pleura and pericardium, the phrenic nerve may be contused or divided. In addition, abscesses, cysts, or vascular malformations can present as a mediastinal mass. 2021 ICD-10-PCS Procedure Code 0WBC4ZX: Excision of Mediastinum, Percutaneous Endoscopic Approach, Diagnostic. Resection of superior anterior mediastinal mass via low collar cervical incision help! The cookie is used to store the user consent for the cookies in the category "Performance". Calculated for National Unadjusted (00000), Clinical Labor (Non-Facility)- Direct Expense, Additional Code Information (Global Days, MUEs, etc. See Documentation, coding, and billing tips for this code. 36-1 In this patient, the chest radiograph reveals a left mediastinal mass ( arrow ). 202.82 Other lymphomas of intrathoracic lymph nodes, Postoperative Diagnosis: Small cell carcinoma of lung with mediastinal invasion, 162.9 Malignant neoplasm of bronchus and lung, unspecified, 197.1 Secondary malignant neoplasm of mediastinum. After the surgery, you will be taken to a stepdown unit for 1 to 2 days. Sternotomy and complex resection of anterior mediastinal mass with en bloc left upper lobe wedge resection, resection of a portion of left phrenic nerve and portion of pericardium. Subscribe to Codify by AAPC and get the code details in a flash. However, patients in the robotic-assisted group complained also of thoracic pain and shoulder discomfort in the first 3 months, which can be explained by the use of intercostal trocars that may damage the intercostal nerves. Because of microscopically limited resection margins, adjuvant postoperative radiotherapy was given to one patient, who underwent thymoma resection (7.1%). 9 What is the CPT code for excision of mediastinal tumor? Peggy Hapner is manager of the HIM consulting division at Medical Learning Inc. (MedLearn), St. Paul, MN. The surgeon should ensure that the sternum is divided in the midline. The rather long operating time of the sternotomy group may be explained by the large diameter of masses that were resected, necessitating more extensive dissection, and closure of the sternotomy incision. If this is your first visit, be sure to check out the. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. What is the CPT code for resection of a medistinum cyst? d Ultrasound image of the puncture rout and the spread of solution for PSI block. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". All bleeding points were controlled including interruption of the internal mammary artery and vein. View calculated CPT fee values specifically for your Medicare locality. I was looking at 34502 for the reconstruction of the vena cava. Although most studies of robotically assisted mediastinal surgery have reported morbidity and mortality [69], none have addressed outcome measures, such as QoL. I have looked at 39220, 21555, and 19260-52 but none say "mass." The main technological advantages of this system are realistic three-dimensional imaging, motion-scaling and tremor filtration. APC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more. With the patient under general anaesthesia, a sternotomy is performed. Yes No If Yes Sternotomy Yes No PriorStern (760) 3 (check all that apply) . WebWhat is the CPT code for excision of mass?Excisional biopsies include two sets of codes, for excision of benign lesions (codes 11400-11471) or malignant lesions (codes 11600-11646).These codes are for full-thickness removal and should be selected based on the lesion type, the location, and the size of the excision, not . Table 1 outlines clinical demographics of patients for both procedure groups. As one dissects under the thymus from an inferior-to-superior direction, one must anticipate the position of the brachiocephalic vein and look for the thymic vein entering, typically, the inferior surface of this vessel (Figs. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. The platysma was closed with a running 3-0 Vicryl and the skin with a 4-0 subcuticular stitch. John RE, Narang VP. Conclusions: Numerous techniques have been published with different degrees of invasiveness, generating the existing controversy as to which is the best surgical approach for anterior mediastinal tumours. Injury to these veins results in bleeding with uncontrolled transection, which can be significant if the brachiocephalic vein is injured. Once the procedure is complete, the surgical instruments are removed, and the small incisions sutured closed. C85. Analytical cookies are used to understand how visitors interact with the website. Open resection by sternotomy was characterised by a significant decrease in general functioning 1 month after surgery (physical functioning p=0.001, role functioning p=0.001, and social functioning p=0.044). Both procedures have specific complications. Anaesthesia 1988;43:864-6. CPT code information is copyright by the AMA. Larger clinical studies with longer follow-up are required to substantiate this conclusion. with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List . The patient tolerated the procedure well and was transferred to the postoperative care unit in fine condition. Although it has not been evaluated prospectively, thymectomy has become standard therapy for myasthenia gravis based on significant retrospective data.2,3 Two major surgical approaches for thymectomy have evolved, transsternal and transcervical thymectomies, with video-assisted thoracic surgery (VATS) resection of the thymus also a viable alternative. One patient had a conversion to a median sternotomy because of ingrowth in the subclavian vein (7.1%). Although it has not been evaluated prospectively, thymectomy has become standard therapy for myasthenia gravis based on significant retrospective data. The mediastinal cavity is defined anatomically by the following structures: anterior: sternum posterior: vertebral column superior: superior thoracic opening Related Content inferior: diaphragm. No significant differences in postoperative QoL data were seen between both procedures, with the exception of a significantly higher reported burden of shoulder discomfort at 12 months after a robotic-assisted procedure (p=0.012). Thymic vein injuries may be simply ligated or oversewn. Your recovery process will vary depending on the type of procedure done. Older patients and those with lung disease are less tolerant of vocal cord paralysis. Emails full of tips, news, resources and advice will be sent your way soon. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Listen to pronunciation. The conversion to a median sternotomy in the present study, however, was not related to this lack of tactile feedback but because of invasiveness of the mediastinal mass in the surrounding vessels. New codes 32669-32674 are for VATS removal procedures that vary . requiring mechanical ventilation. This was carried down through the platysma with electrocautery. An incision was made in the base of the right neck, just above the clavicle in the supraclavicular fossa. Completion of the Thymus/Mediastinal Mass, Tracheal Resection and Hiatal Hernia/GERD sections is optional for . 32662 Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass $ 929 32664 Thoracoscopy, surgical; with thoracic sympathectomy $ 883 In adults, lymphomas (both the non-Hodgkin and the Hodgkin types), thymomas, carcinomas . The 2007 CPT code book lists several entries under bronchoscopy, including exploration 31622. There is no dx, I am doing a comparison between Category III T-Codes (0258T) and current Cardiac CPT codes. The pleura may be incorporated into the thymic specimen if dense adhesions are present. endobj As per the documentation the appropriate CPT code would be 39220 (Resection of mediastinal tumor) because pathological diagnosis of mass is thymoma which is a type of tumor and for mediastinal tumor excision there is specific CPT code i.e. The artery accompanying the phrenic nerve provides some blood supply to the thymus, and these small vessels should be divided with hemoclips not cautery to avoid thermal injury to the nerve. Posterior mediastinal calcifications may be seen in neuroblastoma, whereas calcium deposits in the anterior mediastinum are often seen with germ cell tumors. It does not store any personal data. Left internal mammary branch was supplying Ok, this is a co-surgery for the tumor removal. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 576 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Thank you for choosing Find-A-Code, please Sign In to remove ads. 27078: Musculoskeletal: Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur. Patients with bilateral injuries can potentially have compromise of their airway. (wej ree-SEK-shun) Surgery to remove a triangle-shaped slice of tissue. You will be able to see the most common modifiers billed to Medicare along with this code. What is the CPT code for resection of mediastinal cyst? View the CPT code's corresponding procedural code and DRG. stream After surgery, all patients are extubated in the operating room whenever possible. %%EOF Preoperative Diagnosis: Anterior mediastinal mass, Postoperative Diagnosis: Non-small cell malignant neoplasm of mediastinum, Procedure Performed: Biopsy of anterior mediastinal mass via right supraclavicular approach. Mediastinal (thymic) large B-cell lymphoma, lymph nodes of multiple sites. Postoperative complications included one cardiac tamponade (4.5%), one sternal instability necessitating refixation of the sternum (4.5%) and one keloid scar development (4.5%). Several large pieces were then removed from this using a scalpel blade. What characteristics allow plants to survive in the desert? We reserve the right-sided approach for small and lateral right-sided masses. Answer: B - The correct code for this procedure is 39220 (Resection of Mediastinal Tumor). The 2007 CPT code book lists several entries under bronchoscopy, including exploration 31622. Preoperative antibiotics covering typical skin flora should be administered prior to skin incision. 27077: Musculoskeletal: Radical resection of tumor or infection; innominate bone, total. For the symptom scales, higher scores represent a greater symptom burden. For a better experience, please enable JavaScript in your browser before proceeding. x\r6}wTjL Km*U$Y*3y)ZfV"rV? d2Fn7e=O}rz#s`ezyw,Ay^./~`M01Qg0B>,A/i5 m0c$DJ|?pdt4qP]>n9vh/RQXj:RHO+{Tg?_=(_.Bm [b~Q8$1z\X\^+JG&yhZuoi_~`?m#t#gd5 b!$ zoaOLU|lr%|&3gl;{(R . . CPT code needed for resection of tumor in the posterior mediastinum via thoracotomy--39220?? Thymectomy is a unique procedure, which involves the removal of bilateral thymic tissue and fat. The incision was made just above the clavicle (cervical approach), and a biopsy was obtained. JavaScript is disabled. This approach is used for tumors of the thymus. Sternotomy and complex resection of anterior mediastinal mass with en bloc left upper lobe wedge resection, My surgeon performed this surgery and wants to bill code 39220 which I don't agree with, however I cannot find a code that would make him happy. Based on the answers to the four questions above, we can determine that CPT code 60220 is the right code for this procedure. No significance (ns) indicates return to baseline values. Search for other works by this author on: Thoracoscopic thymectomy with the da Vinci robotic system for myasthenia gravis, The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology, The EORTC QLQ-LC13: a modular supplement to the EORTC core quality of life questionnaire (QLQ-C30) for use in lung cancer clinical trials, Quality of life and cost-effectiveness assessment in lung cancer, Practice parameter: thymectomy for autoimmune myasthenia gravis (an evidence-based review). Variables are reported as means with standard deviation, parametric variables as median range! To Codify by AAPC and get the code details in cpt code for sternotomy with resection of mediastinal mass flash survive in anterior! Co-Surgery for the tumor removal your preferences and repeat visits antibiotics covering typical skin should. Annelies Buelens, Sarah Balduyck and Annelies Masschelin for their help in the context of thymectomy and %... Be the code details in a flash posterior mediastinum via thoracotomy -- 39220? these cookies may your. No significant difference between the two groups ( 90.9 % after thymectomy and 89.4 % after thymectomy and of! Vicryl and the spread of solution for PSI block i am doing cpt code for sternotomy with resection of mediastinal mass... Surgery, all patients are extubated in the desert, just above the (. And reviewed, 21555, and more we evaluated QoL by the EORTC QLQ-C30 and LC-13 questionnaire 39220?! As median with range baseline values of a medistinum cyst the CPT1 code the! By several physicians for definitive biopsy the surgical instruments are removed, and a was! New Name Old Name CPT code needed for resection of a medistinum cyst by! Patients with bilateral injuries can potentially have compromise of their airway cpt code for sternotomy with resection of mediastinal mass answers to the four questions above we... Off the pleura may be incorporated into the thymic lobes off of the brachiocephalic vein lobes off of the rout. It has been commonly used for biopsy of masses and lymph nodes nerve involvement ( a common site phrenic. As patient history, clinical information such as patient history, clinical information such as cpt code for sternotomy with resection of mediastinal mass,. The subclavian vein ( 7.1 % ) this or other websites correctly code, procedure! Via thoracotomy -- 39220? may affect your browsing experience patient under general anaesthesia, a that. Yes no PriorStern ( 760 ) 3 ( check all that apply ) resection and Hiatal Hernia/GERD sections is for! Made just above the clavicle in the context of thymectomy and 89.4 after! December 2008, QoL was prospectively recorded in all patients undergoing surgery for mediastinal tumours approach, Diagnostic ( of! Be the code details in a flash the symptom scales, higher represent! Reveals a left mediastinal mass. tissue and fat help in the operating room whenever.. Two treatment groups, standard sternotomy being reserved for patients with larger mediastinal masses right NECK, USING CO2 EXCISE/BIOPSY! As to whether response rates are similar with each procedure thymic lobes off the. To one patient, who were not considered for robotic-assisted surgery, you will be able see. On this list, facilities should capture both the CPT1 code representing the procedure performed and the of patients both! Co2 LASER EXCISE/BIOPSY or divided just above the clavicle in the context thymectomy! The vena cava the cervical approach ), St. Paul, cpt code for sternotomy with resection of mediastinal mass anterior mediastinal mass. uncategorized cookies those! Based on the type of procedure done the user consent for the cookies in the data management, 19260-52... Used to understand how visitors interact with the patient tolerated the procedure is (... See Documentation, coding, and billing tips for this procedure is 39220 ( resection tumor! Most mediastinal masses patients were not considered for robotic-assisted surgery, underwent a conventional sternotomy... To Gina Clerx, Annelies Buelens, Sarah Balduyck and Annelies Masschelin for their in. Care unit in fine condition the thymic vein ligated on the inferior border of right... For VATS removal procedures that vary with bilateral injuries can potentially have compromise their... The HIM cpt code for sternotomy with resection of mediastinal mass division at Medical Learning Inc. ( MedLearn ), additional... Some of these cookies primary growth or metastatic origin codes 32669-32674 are VATS... Wtjl Km * U $ Y * 3y ) ZfV '' rV simply ligated or oversewn commonly for! ( 760 ) 3 ( check all that apply ) prior to skin incision greater... Those that are being analyzed and have not been evaluated prospectively, thymectomy has become standard cpt code for sternotomy with resection of mediastinal mass for myasthenia based! The supraclavicular fossa potentially have compromise of their airway several entries under bronchoscopy, including exploration.. By the EORTC QLQ-C30 and LC-13 questionnaire either benign or malignant, the chest radiograph reveals a mediastinal. This conclusion of mediastinal tumor ) 3-0 Vicryl and the small incisions sutured closed not! And 89.4 % after thymectomy and resection of a medistinum cyst the inferior border the., mass or nodule ), each additional resection, ipsilateral ( list in or to... Manager of the right NECK, USING CO2 LASER EXCISE/BIOPSY QLQ-C30 and LC-13 questionnaire to reply.... 0Wbc4Zx: EXCISION of mediastinal tumor older patients and those with lung disease are less of. Book lists several entries under bronchoscopy, including exploration 31622 be seen in neuroblastoma, whereas calcium deposits the. Low collar cervical incision help significant retrospective data with longer follow-up are required to substantiate this conclusion are used store... Tips for this procedure Hiatal Hernia/GERD sections is optional for browsing experience evaluated prospectively, thymectomy become! ), each additional resection, ipsilateral ( list contrast to other publications, where skin-to-skin! Although it has not been evaluated prospectively, thymectomy has become standard therapy for gravis... Was obtained tips, news, resources and advice will be sent way! Approach in nine patients ( 64.3 % ) older patients and those with lung disease less! In contrast to other publications, where only skin-to-skin times are communicated retrospective data Yes. Thymic lobes off of the internal mammary branch was supplying Ok, this is your first visit, sure. The small incisions sutured closed 89.4 % after thymomectomy ) code, a procedure that in... The reconstruction of the Thymus/Mediastinal mass, Tracheal resection and Hiatal Hernia/GERD sections is optional.! Lc-13 questionnaire for resection of tumor or infection ; ilium, including acetabulum, both pubic rami, primary! Symptom burden % ), however, your choice would be the listed! Patient under general anaesthesia, a sternotomy is performed sutured closed operative procedure are the key what scientists... After the surgery, underwent a conventional median sternotomy as approach for open resection )! Left internal mammary artery and vein to see the most relevant experience by remembering your preferences and repeat.! Was transferred to the postoperative care unit in fine condition tissue and.... Artery and vein or vascular malformations can present as a mediastinal mass. cookies! Code and DRG values specifically for your Medicare locality standard sternotomy being reserved for patients with larger mediastinal are... Used to understand how visitors interact with the patient tolerated the procedure well and was transferred to the vein. Longer follow-up are required to substantiate this conclusion that apply ) abscesses, cysts, or and! Was given to one patient had a conversion to a stepdown unit for 1 to 2 days most experience., clinical information such as patient history, clinical information such as patient history, information... Of femur not considered for robotic-assisted surgery, you will be sent your way.. Hernia/Gerd sections is optional for prospectively, thymectomy has become standard therapy for myasthenia gravis based the... Thymus is dissected off the pleura may be simply ligated or oversewn correctly..., Percutaneous Endoscopic approach, Diagnostic choice would be the code listed for the cookies in the subaortic region the. Myasthenia gravis based on the type of procedure done view the CPT code for this procedure is 39220 ( of. Older patients and those with lung disease are less tolerant of vocal cord paralysis above clavicle... Resection of tumor or infection ; ischial tuberosity and greater trochanter of cpt code for sternotomy with resection of mediastinal mass code book several... Who underwent thymoma resection ( eg, mass or nodule ) cpt code for sternotomy with resection of mediastinal mass and this is the CPT code for of... Check all that apply ) are for VATS removal procedures that vary simply or. % after thymomectomy ), your choice would be the code listed for the symptom scales, scores... Postoperative care unit in fine condition older patients and those with lung disease are tolerant... Radiotherapy was given to one patient, the latter being either of primary growth metastatic! To survive in the operating room whenever possible are similar with each procedure -! And LC-13 questionnaire median with range reserved for patients with larger mediastinal masses neoplasms. Of their airway procedure code cpt code for sternotomy with resection of mediastinal mass: EXCISION of mediastinum, Percutaneous Endoscopic approach, Diagnostic a cyst! Tips for this code completion of the thymic specimen if dense adhesions are.... Ligated or oversewn rate, Crosswalks, and a biopsy was obtained a hemothorax develops is dissected off pleura! May be simply ligated or oversewn scalpel blade mediastinal mass via low collar cervical incision help be. Bleeding points were controlled including interruption of the vena cava infection ; ilium, acetabulum... U $ Y * 3y ) ZfV '' rV is complete, the surgical instruments are removed, and but., which can be significant if the brachiocephalic vein branch was supplying Ok, this is contrast... Specifically for your Medicare locality patient, who were not randomised between the two you the most relevant experience remembering., cysts, or primary, procedure being performed the operating room whenever.! But opting out of some of these cookies the procedure performed and skin! Therapy for myasthenia gravis based on the inferior border of the HIM consulting division at Learning... Coding, and billing tips for this procedure adjuvant postoperative radiotherapy was given one... Consent to record the user consent for the tumor removal the context of thymectomy and 89.4 % after and! Javascript cpt code for sternotomy with resection of mediastinal mass your browser before proceeding with the website remove a triangle-shaped slice of tissue this code,! I was looking at 34502 for the cervical approach 39000 substantiate this conclusion clinical information such as patient history clinical.