What is Thoracentesis?

Thoracentesis is a procedure which is performed to clear or remove fluid from pleural space. Pleural space is an empty area which is present between the lungs and the chest wall. In this procedure, a fine needle is used to insert right through chest wall. Sometimes instead of using needle, a plastic catheter is used. Ultrasound during thoracentesis helps surgeon to place needle accurately at right place. With the help of this needle, pleural fluid is extracted and then sent to lab for further tests. These tests show the underlying cause behind buildup of this fluid. In normal physiology, a little amount of pleural fluid is present in pleural space.



But excess production and accumulation of thoracentesis can occur due to many pathological conditions like inflammation, infection, cancer or heart failure. Presence of excessive pleural fluid hinders during normal breathing. Diagnostic tests include chest x-ray. Physical examination is also performed for pleural fluid diagnosis. Test results may take about 1 to 2 working days. If pleural sample is used to check the presence of tuberculosis, then it will take several weeks.  Thoracentesis is performed for two purposes. 1st one include finding the leading cause behind excessive pleural fluid. 2nd one involves treatment by extracting pleural fluid and decreasing pain.



Before starting thoracentesis, patient is asked to sign a consent form about risks. Patient have to provide all medication history or current medication profile, about allergic medications and about bleeding issues. There are some pathological conditions in which thoracentesis cannot be performed. Those pathological conditions involve irreversible lung disease i.e. emphysema. This procedure is prohibited in patients with bleeding disorder and patients with enlarged heart size from right side or heart failure.


Patient is asked to take off his clothes and then let him sit and lean forward to padded bed side table. Then surgeon clean his chest region with an anti-septic. Then local anesthetic is given to patient in chest region. When the chest region becomes numb, surgeon inserts a long needle through chest and then fluid is extracted. Patient may experience a mild pain and pressure due to extraction process. A vacuum bottle is attached to a small tube or syringe to collect pleural fluid. After the collection of excessive pleural fluid, needle is removed and bandage is applied to site. This whole procedure will be done in almost 10 to 15 minutes.


After one or two days, an X-ray is performed to check success of this procedure and complications (if any). Thoracentesis can be performed again and again. This is a safe procedure with less complications. Some of the complications are as follows:


1. If a very large amount of pleural fluid is removed, then pulmonary edema may occur.

2. Bleeding may complicate the procedure.

3. Any kind of lung infection.

4. Rarely, liver and spleen may damage as a result of Thoracentesis.


Pneumothorax can occur i.e. lung become partially collapse. It occurs if during thoracentesis, needle used accidentally punctures lung and air from lungs flow out.

Thoracentesis Complications


Thoracentesis is a procedure which is performed to eject excessive fluid from pleural space. Pleural space consists of double membranous structure in which fluid is present. Pleural fluid provides cushioning and does not let the membranes of pleura to collapse. Pleural fluid is present in low volume in pleural space, when the volume exceeds from normal value, this condition is termed as pleural effusion. In this procedure a needle or a plastic two way catheter is used to eject excess fluid from pleural space.

After applying local anesthesia to patient chest wall a needle is injected. Needle after crossing chest wall reaches to pleural space and start ejecting pleural fluid. After completion of process, needle or catheter is removed and a bandage is applied to cover the site. Then some tests are performed to check success of this procedure. It is a safe procedure with increased success rate but there may be some risks and complications which can make it unsuccessful. There are some complications which are on minor level and some are potential complications. Some common risks are as follows:


  • During procedure, when needle is injected through chest wall, physician may accidently pass through the other membrane of pleural space and lungs got puncture. Due to this, air may come out in pleural space which in turn leads to unbalancing of lung surface tension and as a result lung get collapse. This condition is known as pneumothorax. Chest tube drainage is necessary in this condition if it is symptomatic. Pneumothorax can also occur due to introduction of air bubble from outside.
  • Due to puncturing of chest wall with needle, bleeding may occur and cause further complications like patient may become faint. 
  • Any kind of infection can occur if needle is not properly sanitized. To avoid occurrence of infection, surgeon clean the chest wall surface with an antiseptic before starting procedure. 
  • Liver and spleen may get injured but it is very rare. 
  • Patient may experience chest pain during thoracentesis. Pain occurs due to poor technique or use of local anesthetic. So to avoid pain, pre-medications are preferred. In case of local anesthesia, pain may persist for about 24 hours after procedure. If patient suffers from shoulder pain after procedure, then it means diaphragmatic pleura got pierced with needle accidentally. 
  • Patient may suffer from shortness of breath known as dyspnea. 
  • Hypoxemia is another complication which can interact with thoracentesis. 
  • Coughing during thoracentesis also causes problem in ejecting fluid from pleural space. To avoid cough during procedure, patient is asked to lie down on a bed side table facing downward. 
  • Hemothorax is another main complication. In this condition, an artery near the site may get puncture and leads to excessive bleeding. 
  • Vaso vagal syncope.
  • Empyema is considered the most dreadful complication. 
  • If patient is suffering from mesothelioma, then there are high chances of occurrence of tumor cells due to needle insertion. 
  • Subcutaneous seroma is also reported. It occurs when needle passes to subcutaneous tissue and extravasation occurs as a result.

Thoracentesis Location


Thoracentesis is also known as thoracocentesis. Thoracentesis is a procedure in which excessive pleural fluid is extracted from pleural space with the help of needle. It is performed in emergency and hospitalist patients. Pleural space is a region which lies between two pleurae and filled with thin fluid. It is present in each lung. Pleura is defined as a serous membrane which is present in the form of two way layered pleural sac because it arranges itself by folding back onto itself. The outer boundary of pleura is attached to the chest wall and inner boundary of pleura attaches to lungs and covers them. It not only covers lungs but also covers adjacent blood vessels, bronchi and nerves. Pleural space is also known as potential space because of thin film of sera. This was all about anatomy of pleural space and now we will talk about location of Thoracentesis.

Thoracentesis is a process which is performed for two main purposes. 1st one includes taking sample from chest and 2nd one includes extraction of excessive pleural fluid. In this surgical procedure, a fine needle or a two way plastic catheter is used to inject in to the chest cavity. Properly trained physician is required for this procedure because of its sensitivity. Needle is injected from back side right through the chest wall into pleural space. The exact location is between ribs where the needle is injected. Patient is asked to lay on a bed side table facing downward. An ultrasound machine is also working by its side which shows the exact internal structure and needle injecting inside. Then anesthesia is given to numb the pain sensation. Then needle will pass through chest wall and inject enough that it reaches to pleural fluid.

To reach the pleural space needle will pass through chest wall and outer boundary of pleural space and then reaches to pleural fluid.  With this needle, a vacuum is attached which collects excessive pleural fluid. After collection, Pull back the needle and apply bandage to the site. Patient will experience a little restlessness during this procedure. After completion of thoracentesis, patient is advised to take rest and regular tests are performed to check progress of this process. Tests are also performed to check complications. It is a safe process but it is contraindicated in some patients like patient having bleeding disorders or patients with uncorrected bleeding diathesis and Patients with cellulites on chest wall.

After Thoracentesis, patients may face some complications. Some common complications on minor and major level are as follows. On minor level there may be pain while inserting needle, cough during process, subcutaneous seroma, vasovagal syncope, dry tap and subcutaneous hematoma. On major level hemothorax, diaphragmatic injury, tumor seeding, pneumothorax, laceration of the liver and spleen and empyema can occur. Thoracentesis is performed in many pathological conditions like large pleural effusions, to treat empyema and pleural effusions. Pleural effusions are of many size and require thoracentesis. Patients recover successfully from Thoracentesis with or without complications.

Thoracentesis Indications


Thoracentesis is a simple and easy procedure which is performed for two main purposes. 1st one is diagnostic purpose and 2nd one involves treatment purpose. When we talk about diagnostic purposes, it is indicated to diagnose many kind of pathological conditions. In this process, a needle is passed through chest wall to pleural space from back side and sample is collected in syringe. Then this pleural fluid sample is passed onward to lab for further testing. The procedure is same in both conditions but time and amount of pleural fluid collected differs. Treatment with thoracentesis takes more time because large amount of fluid is ejected from pleural space. When large amount of pleural fluid is ejected, then a container is attached to needle for collection of excessive fluid. Thoracentesis for diagnostic purpose is recommended in many pathological conditions like

  • Patient with congestive heart failure are strongly recommended to thoracentesis. And it is considered the most common cause. 
  • Patients having any kind of infection like viral infection, fungal infection and bacterial infection. 
  • Patients with tumor in chest region. As sample collected via thoracentesis will contain cancer cells and further tests will diagnose the type of cancer. 
  • Patients with systemic lupus erythematous and other auto immune diseases.
  • If there is inflammation in pancreas, then this procedure is recommended to check the leading cause behind this inflammation. Sample is taken out with the help of syringe.
  • If a blood clot get struck in the lungs then this process is performed. This condition is known as pulmonary embolism. 
  • It is strongly recommended in empyema. In empyema, pus is accumulated in any area of pleural space.
  • Patients with liver failure and tuberculosis are also recommended to thoracentesis. 
  • Any pulmonary reaction in patients if occurs due to medications, this procedure is performed. 
  • The most common condition for which this procedure is used widely all over the word is pleural effusion. In pleural effusion, pleural fluid exceeds from normal level and cause further complications in body like heavy breathing or shortness of breath. This procedure is indicated in pleural effusion of any size which requires diagnostic tests. 

All above mentioned are the conditions in which thoracentesis is recommended as diagnostic procedure but in pleural effusion it is used as a treatment procedure. In pleural effusion, there is large volume of pleural fluid which covers most of the pleural space so thoracentesis is performed as a treatment to eject all excessive pleural fluid. It is performed in emergency situation and in patients who are hospitalized. Trained physician is required for this procedure. Patient have to provide all relevant data about his pathological conditions and past medical history. If patient is on anti co-agulative medication, then he have to quit them immediately. And if patient is suffering from any pathological condition physician may not recommend thoracentesis. Because due to some pathological conditions, this procedure is contraindicated in patients. It is a safest procedure but also have some risk associated with it, so proper care is required during and after this process.

Thoracentesis Procedure Steps


Thoracentesis is also known as thoracocentesis. It is a surgical procedure in which excessive pleural fluid is ejected from pleural space. Pleural space is a region present between chest wall and lungs outer covering. This procedure is performed in emergency patients and in hospitalized patients. If it is performed in hospitalized patient, then patient is asked to sign a consent form and then health care provider explains him the whole process. Patient is free to ask any question regarding procedure. Patient have to provide some information like


  • If patient is pregnant or not. 
  • Allergies to medications or sensitive to tape and latex. Allergic to anesthetics or not. 
  • Patient have to tell about his medication history which may include vitamins, OTC drugs, prescription drugs and any herbal medicines. 
  • Patient is asked about any pathological condition like bleeding disorder etc. 
  • If patient is on aspirin or other medicines which makes blood thin, then he is asked to quit them before Thoracentesis. 
  • Patient have to follow instructions given by health care provider. 


Before starting procedure, some tests are performed which are diagnostic tests. These diagnostic tests shows exact location of excess pleural fluid. These tests involve ultrasound, CT scan, chest X-ray and chest fluoroscopy. Patient is asked to take off his clothes before thoracentesis and wear hospital gown. Patient is also asked to remove any jewelry item he is wearing.  Then oxygen mask is applied or a nasal tube is used for breathing. Vitals like blood pressure, breathing and heart rate is monitored side by side during procedure. An ultrasound is done to view the exact location of thoracentesis to be performed. Ultrasound also helps to check the depth of needle.

Patient is asked to sit down on bed and relax his arms on a table higher than bed. This position enable ribs to spread and site is cleared to inject needle. If patient is not in a condition to sit then he is asked to lay down on bed facing sideways.  Chest wall between ribs is cleaned with an antiseptic solution and then local anesthesia is applied. When the area become numb, needle is injected through chest wall to pleural space from back side. Patient will experience pain while inserting needle. With pressure, blood will start filling needle. Patient have to stay still during process to avoid complications.

Patient is advised to take deep breath and at some points to stop breathe during this process.
To eject large amount of pleural fluid, a tube is attached to needle which collects fluid. Tubing will remain for some days and then removed.  After completing procedure, a bandage is applied on the site of needle until it totally recovers.  After thoracentesis, some tests are performed which shows progress of this procedure. These tests involve chest X-ray or ultrasound which is performed right after the procedure. This X-ray shows position of lungs. After sample collection, it is sent to lab for further process. These are the complete steps which are involved in procedure of thoracentesis.

Thoracentesis Contraindications


Thoracentesis is a safest surgery by which excessive pleural fluid can be ejected from lungs. This procedure is recommended in many patients who are hospitalized and in emergency condition. It is indicated in many pathological conditions related to lungs and associated organs. Patients with breathing difficulty are mostly recommended Thoracentesis because excessive pleural fluid suppress lungs and breathing process. Like it has many indications, it also have some contraindications. It is strictly prohibited in some patients with certain pathological conditions. There are some non absolute Thoracentesis contraindications in which patient have to avoid this procedure. These non absolute Thoracentesis contraindications involve:

  • Bleeding diathesis (in this condition the coagulation capacity of blood is lost due to coagulopathy and blood bleeds more than usual in case of any injury). Patient with bleeding diathesis should avoid Thoracentesis because needle puncturing will lead to excessive bleeding.
  • When there is small effusion, then Thoracentesis is contraindicated.
  • In case of mechanical ventilation, Thoracentesis is contraindicated because of high risk profile. 
  • Problem in blood coagulation or patient having anti-coagulants in past medical history are advised to not have Thoracentesis. 
  • Loculated effusion (when excessive pleural fluid is present in localized area of pleural space). So it is a complication and mostly Thoracentesis is contraindicated in this condition. In loculated effusion, the primary step is to check out area of effusion. Fluoroscopy, ultrasound and computed tomography are the techniques which are used for this purpose. If empyema is also present then local area with effusion cannot be identified on the basis of physical examination. As a result excessive needle puncturing will cause pain and patient become uncomfortable. Ultrasound is considered a best technique for this purpose. It can also be performed when patient is lying on bed side. 
Thoracentesis is contraindicated in patients who are on ventilator because there are more risks as compare to benefits in such patients. Some risks are:
  • Lungs may get collapse during Thoracentesis. Needle during this process may accidently puncture lungs and as a result lung will collapse leading to heavy breathing and ultimately death. So physicians recommend not to take small effusions and postpone this procedure if it is not urgent. 
  • Another main risk associated with patients on ventilator is about seating and positioning of patient. Patient can be positioned in two ways i.e. lie on bed side or sit lying on side table. Sitting position is easier to work with. But patient may not sit during Thoracentesis because of hemodynamic status and mental status. Tubes and indwelling lines used during Thoracentesis also complicate the process. If patient lie on bed side, then try to lift dependent diaphragm up. 5th or 6th interspace is recommended for needle puncturing because there are less chances of diaphragmatic injury in this region. 
  • Patient having coagulation defect is strictly contraindicated to Thoracentesis. Physician have to cover coagulation defect with medications and then Thoracentesis can be performed otherwise it can be proved fatal for patient.  If patient is already on ani coagulative medications, then he have to quit them immediately.

Thoracentesis Recovery Time


Thoracentesis is a process in which excessive pleural fluid is ejected from pleural space with the help of needle. Pleural space is present between lungs and chest wall. Sometimes this procedure is also known as “chest tap”.  Normally a small amount of pleural fluid is present in pleural space which provides cushioning to lungs. When it turns into excessive accumulation of fluid, Thoracentesis is recommended to eject excessive pleural fluid. There may be many reasons behind this, like lung cancer, heart failure and infection. Patient may feel pain during needle insertion but this pain may completely eliminates within two days. Patient can easily walk and perform other activities of life right after two days of thoracentesis. After this procedure, instruction sheet is handed over to patient for better care. Every person face a different recovery time. But following instructions are provided to them in the form of care sheet for rapid recovery.

  • Physician advises patient to take rest for longer time if he feels tired.
  • Patient have to avoid strenuous activities like exercise, aerobics, yoga, cycling, running, weight lifting, riding and jogging etc. until doctor allows him to do these activities. 
  • Patient have to avoid taking shower until doctor allows him or puncture site get completely healed. 
  • Patient should not drive without doctor’s permission.
  • Doctors strictly recommend to take rest for 2 days and then patient can go back to work. 
  • Normal diet is suggested with less oily food.
  • Patient should drink plenty of fluids until doctor recommend him to stop. 
  • If patient was already on medications, then doctor will tell him when to take those medicines again. 
  • If patient was already on some blood thinning agents like warfarin (Coumadin), aspirin or clopidogrel (Plavix) then he must discuss it with doctor. Then doctor will tell the patient whether to take medicines or not and when to restart them after thoracentesis. Mostly patients restart blood thinning agents after complete recovery of puncture site to avoid excessive bleeding. 
  • Doctor will prescribe pain killers to patient and also instruct about dosage. 
  • If patient was already on pain killers, then he should ask physician when to restart them. 
  • Doctor strictly advise patient to not take more than 2 pain killers at a same time. Common pain killers involve acetaminophen i.e. Tylenol. But acetaminophen i.e. Tylenol in excess can be harmful. 
  • If doctor has prescribed some antibiotics then patient have to take them as directed. Patient have to complete antibiotic course and does not stop it after feeling better. 
  • Patient should also take great care of his puncture site. He should wash his puncture site regularly with mild soap and Luke warm water. Avoid using hydrogen peroxide and alcohol because these two agents interfere in healing time and extend it. If it weeps out or rub with clothes, then patient should cover it with a gauze bandage and change it on daily basis. 
  • Patient have to keep puncture site clean, free of infection and dry.

Thoracentesis Position


Thoracentesis is a procedure in which excessive pleural fluid from pleural space is extracted and collected for two main purposes i.e. diagnostic purpose and treatment purpose. Thoracentesis is a safe procedure, but still care is required while performing thoracentesis. In this procedure, a needle is used to pass through chest wall from back side. This needle will help in ejecting excessive pleural fluid from pleural space. To make this procedure successful, positioning of patient during thoracentesis helps a lot. This can be performed in two main positions i.e. patient may lie on bed side facing side ways or may sit on bed with slightly tilted body. Sitting position is widely used position for thoracentesis. In bed side position, the dominant side is kept on upper side and then pleural fluid is ejected. Patient feels comfortable in this position.

A nasal tube or a face mask is used in both positions to facilitate oxygen supply. In case of sitting position, which is most common and preferred position used in thoracentesis, patient is allowed to sit on bed. Then he is advised to rest his arms on a bed side table which can be adjusted according to height of bed and patient comfort. Patient have to take off clothes before sitting. In sitting position, patient is slightly lean on table or pillow facing downward. This makes puncturing of skin easier with a needle. The area becomes visible and prominent. Physician’s assistant stand in front of patient holding him tight and does not let him move on needle insertion. Patient remains active in this position. Physician cleans the surface of chest wall with antiseptic and then puncture it with a needle or a plastic catheter. Patient may feel a little pain which resembles pinching. But feel less pain during ejection of pleural fluid.

The posterior gutter is deep and more likely to accumulate excessive pleural fluid in erected position, so needle is injected at this site during thoracentesis. In sitting position, this site is visible to physician. Back side of chest wall is used for needle injection, because interspaces are wider at back side as compare to front side. Preferred interspaces are 7th, 8th and 9th space of ribs. Another main reason is presence of neurovascular bundle near ribs so back side is more comfortable and easy for the procedure. Back side is perfect for this procedure because near 7th, 8th and 9th ribs space there are less chances of damage to spleen, diaphragm, liver and descending aorta. Sitting position is also preferred on bed side position because ribs interspaces are more prominent in sitting position leaning front side as compare to bed side position. Ejection of pleural fluid is easy in sitting position. After thoracentesis, bandage is applied to puncture site and patient is asked to take complete rest for at least 2 days. Physician also prescribe some medications i.e. pain killers for pain in puncture site. Physician also advise to take good care of puncture site and weash it regularly with Luke warm water and mild soap.

Thoracentesis Purpose & Causes


Thoracentesis is a procedure which is used to clear excessive pleural fluid from pleural space. Pleural space lies between lungs and chest wall. Normally small amount of pleural fluid is present in pleural space but due to any cause volume of pleural fluid increases and leads towards further complications. Thoracentesis procedure is used for two main purposes i.e. for diagnostic purpose and for treatment purpose. In case of diagnostic purpose, a fine needle is used to inject in pleural space from back side right through chest wall. Only syringe is filled with pleural fluid and sample is collected. Then this sample is passed on to lab for further testing. But in case of treatment, a two way plastic catheter or a syringe is used to eject pleural fluid from pleural space. If a needle is used, then a vacuum container is attached with it to collect excessive pleural fluid. If thoracentesis is used for treatment purpose, then it will take longer than sample collection.

This procedure may be used in many pathological conditions. Most commonly this procedure is used to diagnose leading cause behind accumulation of pleural fluid over the limit. There may be many reasons behind accumulation of pleural fluid some of them are discussed below.


  • Congestive heart failure CHF is considered a most common cause behind accumulation of excessive pleural fluid.
  • Any kind of infection like viral, fungal or bacterial infection can cause pleural effusion.
  • (Pleural effusion is defined as accumulation of pleural fluid ) 
  • Lung cancer leads to decrease in lung cells functionality which may cause pleural effusion and necessarily require thoracentesis.  
  • Some autoimmune diseases like systemic lupus erythematosus SLE is another main cause of pleural effusion and ultimately thoracentesis.  
  • Pancreatitis which is inflammation of pancreas  
  • Pulmonary embolism may cause accumulation of pleural fluid and need thoracentesis. Pulmonary embolism is defined as condition in which a blood clot is formed in lung.  
  • Other than congestive heart failure, empyema is also considered as main cause behind pleural effusion.  
  • Rarely problem in liver cause pleural effusion.  
  • It may occur secondary to medicines used as treatment for another pathological condition.  
  • Tuberculosis infection also requires thoracentesis. 
  • Last but not least pleural effusion occurs due to pneumonia.  


There are many other pathological conditions other than these mentioned above which need thoracentesis. In all above mentioned conditions, thoracentesis is performed for diagnostic purpose. And sample is collected for further testing. These tests show reason behind these pathological conditions. Pleural effusion is the only reason in which thoracentesis is performed for treatment purpose. It is a safest procedure, but still care is required during and after thoracentesis. A consent form have to be signed by patient before starting this procedure. And special precautions are given to patient as a care chart to help him. In this chart, patient is advised to take medications prescribed by doctor and avoid some things. When thoracentesis is performed, some tests like ultrasonography is performed to check success of thoracentesis and complications occurring after it.

Thoracentesis Technique


Thoracentesis which is also known as thoracocentesis is a technique which clears excessive pleural fluid from pleural space. This technique is performed in the following way: patient 1st asked to take off his clothes and sit on bed leaning forward on bed side table or pillow for comfort. Then ultrasonography is performed to check presence of pleural fluid, area of fluid and its size. In ultrasonography, a curvilinear transducer or a high frequency linear transducer is used to obtain clear images. Diaphragm is clear and can be seen as a bright structure in it. In ultrasonography, complete respiratory cycle of patient is observed to examine area of fluid accumulation. The area which does not rise during respiration is spotted for thoracentesis. Ultrasonography also give information about volume of pleural fluid present between lungs and chest wall. It also confirms the site for needle puncturing.

Ultrasonography helps in reduction of complications associated with thoracentesis.
Commonly puncture site used is between 7th and 9th rib interspace. Sterile probe covers are used if thoracentesis is performed with the help of ultrssonography. Surface of skin is sterilized with an antiseptic. Chlorhexidine is commonly used antiseptic for clearing skin. It is more effective than povidone iodine solution because it dries fast. Physician also uses sterile towels to create a clean aseptic area surrounding the puncture site. If patient is in old age or obesse then a tape is used to stretch their loose skin and then clear the area for puncturing. A needle or a plastic two way catheter is used to inject. Commonly needle is used for diagnostic purpose, plastic catheter is also used sometimes. If a catheter is used to pass through chest wall then skin is 1st nicked with no. 11 scalpel blade to reduce resistance while inserting catheter.

During insertion of needle or catheter the neurovascular bundle should be avoided which is present with inferior rib side. If a needle is used, then a tube is attached to it for collection of fluid. A syringe pump or a vaccuum container is also used for collection of pleural fluid ejected from pleural space. While ejecting pleural fluid, patient experience symptomatic relief. After complete collection of pleural fluid, plastic catheter or needle is removed and bandage is applied to chest wall puncture site. Collected fluid is sent to lab for further tests and an ultrasonography is performed to check success of thoracentesis.

Patient is asked to take rest for at least 2 days and use medications after consulting doctor. Some pain killers are prescribed which should be continued until doctor ask to stop them. Patient have to focus on his diet and should not lift heavy weight. As ribs are involved in this procedure, so it is a sensitive procedure and requires great care during and after thoracentesis. If patient was already on some medications like blood thinning agents i.e. aspirin, warfarin etc. Then he have to ask doctor and stop using them before thoracentesis. As with these agents, there is a great risk of heavy bleeding during puncturing.

Thoracentesis FAQ's

Thoracentesis Definition:


Thoracentesis is officially defined as “A technique which is used for removal of fluid from space present between lungs outer boundary and chest wall.” This space is also known as pleural cavity. It is performed for diagnostic or therapeutic treatment purpose. It is performed by using a needle which is inserted in space between ribs. Basically this technique is used to eject excessive pleural fluid from pleural space which may accumulate due to many pathological conditions. This procedure is used to take sample of pleural fluid sent to laboratory for further testing but in therapeutic treatment, all excessive pleural fluid is ejected.


Thoracentesis or Thoracocentesis:


Thoracentesis or thoracocentesis is a procedure which is specially designed to eject excessive pleural fluid. This fluid is present in pleural space i.e. between lungs and outer boundary of lungs. In this procedure a fine needle or a two way plastic catheter is injected in pleural space from back side right through chest wall. A vacuum container is attached to needle or catheter which sucks and collects pleural fluid. After Thoracentesis, needle is removed and a bandage is applied on puncture site. Pleural fluid sample is passed on to lab for further testing.

Thoracentesis Procedure Pain:


Thoracentesis procedure involves needle insertion in chest wall from back side. So before starting thoracentesis, a fine needle is selected which may pass easily to pleural cavity also the skin surface is cleaned with an antiseptic solution. After antiseptic application, a proper antiseptic boundary is formed and after that a local anesthesia is applied on skin to numb it. This numbness cause just a little pain to patient while needle puncturing. Pain is totally bearable and persists for about 2 days after thoracentesis. After 2 to 3 days, this pain completely vanished and patient is free to perform routine activities.

Thoracentesis Site Of Insertion:


Thoracentesis involves needle insertion for sample collection or pleural fluid collection, so selection of area where needle will be inserted, is really important. Normally the site selected lies between 7th and 9th rib interspace. This area is safe because neurovascular bundle is present near inferior side of lungs, and needle will not puncture that bundle. Another advantage of this site is: there will be less chances of liver and diaphragm and spleen damage. Descending aorta will not get damage due to needle puncturing at this site. It is the safest site used till now for Thoracentesis.

Thoracentesis Procedure Note:


Thoracentesis procedure note contains data about procedure. 1st of all date of procedure is mentioned in a standard format. Then diagnosis is written which is observed before thoracentesis. Below this, observed diagnosis is mentioned which is on the base of thoracentesis sample test result. After that thoracentesis procedure is explained briefly. In this heading, a top to bottom procedure steps are discussed for patient information. All this is written on a paper like a note. This note is presented to patient to guide him about the whole procedure. Name of surgeon is also mentioned in this procedure note.


Thoracentesis Icd 09 Code:


ICD 9 is a diagnosis code and defined as a billable medical code which is used to show a diagnosis on a reimbursement claim. A specific code i.e. E879.4 should be used only to claim in a specific date range i.e. before or on September 30, 2015. Likewise claims on date October 1, 2015 or after this date will be equivalent to code ICD 10. These codes are assigned to specific dates for claims. This code describes accumulation of fluid again because of abnormal reaction of patient or any other later complication.

Thoracentesis V/S Thoracostomy:


Thoracostomy is different from Thoracentesis, as an incision is made in thoracostomy and after incision, needle or a tube commonly called as chest tube is inserted inside but a needle is directly inserted in Thoracentesis. Thoracostomy is a procedure which is specially used for treating pneumothorax. Thoracentesis is used for removing excessive pleural fluid from pleural space. Thoracostomy is performed to clear air, blood or fluid from pleural space, but Thoracentesis is specific for excessive pleural fluid. For releasing air in pneumothorax, needle thoracostomy is performed. Thoracentesis is contraindicated in many conditions but thoracostomy have only some contraindications.

Thoracentesis Needles:


The process of thoracentesis involves needle insertion to the pleural space. Pleural space is present between lungs and chest wall. A fine needle is used for this process which easily passes to the pleural space without resistance. A fine long needle will cause less pain while puncturing. Needle used should be long enough that it easily pass chest wall and reaches to pleural space. Excessive pleural fluid is ejected from pleural space with the help of this needle. Along with this needle, a vacuum container is attached which sucks and collect pleural fluid. After thoracentesis, needle is removed and bandage is applied.

THORACENTESIS ICD 10 CODE:


Thoracentesis ICD 10 code is used for care performed after surgery. This code is not used for reimbursement purpose. It have some sub codes with much detail. These codes help in searching body parts requiring aftercare and explain in detail the aftercare procedure. The condition of patient which is treated also be coded if that condition still persist. It has two main types. Type 1 excludes the injury code related to 7th character D aftercare. It also exclude aftercare of neoplasm surgery. Type 2 of this code exclude aftercare of organ transplant surgery and orthopedic surgery as well.

MVA ICD-10 Code for Driver, Passenger, In Pregnancy



Motor Vehicle Accident (MVA) ICD 10 Code


This code is used for diagnosis of a person injured in motor vehicle accident, initial encounter or traffic. Diagnosis is done with a purpose of reimbursement. V89.2XXA is a billable code used for such diagnosis. This code is used currently and was 1st implemented on 21st of October 2017.

Motor Vehicle Accident (MVA) Driver ICD 10 Code


This code is used for diagnosis of a person who is the driver of motor vehicle injured during collision of motor vehicle, in traffic or initial encounter. V49.40XA is the billable code or specific code for diagnosis with a purpose of reimbursement.

Post Motor Vehicle Accident (MVA) ICD 10 Code


This code is used for diagnosis of a person who got injured in motor vehicle accident MVA, traffic or initial encounter. V89.2XXA is the code specific or billable code for diagnosis with a purpose of reimbursement.

Rollover Motor Vehicle Accident (MVA) ICD 10 Code


The diagnosis code for post motor vehicle accident and rollover motor vehicle accident is same. V89.2XXA is used for diagnosis of a person rolled during motor vehicle accident, traffic or initial encounter with a purpose of reimbursement.

Motor Vehicle Accident MVA Passenger ICD 10 Code


V49.50XA is the billable or specific code for diagnosis of a passenger got injured during motor vehicle accident, initial encounter or traffic. The indicated diagnosis is done with the purpose of reimbursement.

Motor Vehicle Accident Mva Pregnancy Icd 10 Code


O71.89 is the billable or specific ICD 10 code for indication of diagnosis of a pregnant women who got  injured during motor vehicle accident, initial encounter or traffic. The diagnosis is done with a purpose of reimbursement.

Motor Vehicle Accident Mva Unspecified ICDd 10 Code


Person who got injured during unspecified motor vehicle accident MVA is diagnosed with a specific
ICD 10 code I.e. V89.2XXA. This code is the billable or specific code for the indicated diagnosis with a purpose of reimbursement. These codes are specific for unspecified motor vehicle.

Personal History Of Motor Vehicle Accident Mva ICD 10 Code


It includes personal history of a patient who recovered after injury. The specific or billable code for diagnosis is Z87.828. The diagnosis is for reimbursement purpose. This code is the American version but this may differ in international versions.

Motor Vehicle Accident Mva No Injury ICD 10 Code


Z04.1 is the diagnosis code for motor vehicle accident no injury. This code is used for diagnosis of person I.e. examination and observation of person after accident. This code is specified or billable for un-injured person during accident.

Alleged Motor Vehicle Accident Mva ICD 10 Code


This code is used for the diagnosis of a person who isn't proved to be involved in motor vehicle accident, initial encounter or traffic. The code I.e. V89.2 is the billable or specific code for alleged person injured. The diagnosis is based on reimbursement purpose.

ICD-10 Code for Normal Ekg, Abnormal Ekg, Screening Ekg, Left Axis Deviation


Abnormal Ekg ICD 10 Code


R94.31 is the billable or specific code which is used for diagnosis of a person with abnormal electrocardiogram ECG/EKG. The diagnosis is done with the reimbursement purpose. This code is the latest addition which was implemented on 1st of October 2017.

Screening Ekg ICD 10 Code


Z13.6is the billable or specific code for encounter screening of a person who have cardio vascular disorders. This code is used for diagnosis of person who have to go through screening of electrocardiogram ECG.

Left Axis Deviation ICD 10 Code


Left axis deviation involves left anterior fascicular block and left posterior fascicular block. So the code used for left anterior fascicular block is I44.4 and billable code for left posterior fascicular block is I44.5. both of these billable codes are used for diagnosis of left axis deviation with a purpose of reimbursement.

Personal History Of Abnormal Ekg ICD 10 Code


The billable or specific code for recording personal history of a person with abnormal electrocardiogram ECG EKG is R94.3. This code is used for diagnosis of personal  history with a purpose of reimbursement.

Pre Op Ekg ICD 10 Code


There is a series of billable codes which are used to diagnose the evaluation of a person before operation. The reason for encounter is recorded with the code Z01.810 to Z01.818. Codes used for preoperation evaluation are Z01.811. The diagnosis is based on reimbursement purposes.

Borderline Ekg ICD 10 Code


ICD-10 Code for borderline EKG is the same code used for abnormal electrocardiogram ECG EKG. The billable or specific code used for diagnosis is R94.31. It is used for diagnosis of borderline electrocardiogram ECG EKG with a purpose of reimbursement.

Pre Procedure Ecg ICD 10 Code


Billable or specific ICD 10 CM code used for evaluation of pre-operation cardio vascular examination is Z01.810. This code is used for indicated diagnosis with a purpose of reimbursement. This code is specific for examination of all cardio vascular activities before an operation starts.

History Of Abnormal Ekg ICD 10 Code


The code for personal history of abnormal EKG is the same used for history of abnormal EKG. The billable or specific code is R94.31. This code is used to indicate diagnosis with a purpose of reimbursement. This is the American version, the international version may differ.

 12 Lead Ecg ICD 10 Code


There is no specific ICD-10 code for 12 Lead Ecg at the moment.

Normal Ekg ICD 10 Code


There is no specific ICD-10 code for Normal Ekg at the moment.


ICD-10 Code for Urinary Frequency, Incontinence, Hesitancy, Retention


Urinary Frequency and Urgency ICD 10 Code


The billable or specific code which is used to diagnose urgency and increased frequency of urine in patients is R39.15. This code is used for indication of diagnosis of increased urination frequency and urgency with a purpose of reimbursement.

Urinary Frequency in Pregnancy ICD 10 Code


The discharge of urine from urinary bladder is also known as micturition. So the increased frequency of micturition in pregnant women can be diagnosed with a code R35.0. This billable or specific code is used for indication of diagnosis with a purpose of reimbursement.

Urinary Frequency with Incontinence ICD 10 Code


This code is used to diagnose increased frequency of urine with incontinence. N39.41 is the billable or specific ICD 10 code which is used for indication of diagnosis with a purpose of reimbursement. This is the latest version of the code and currently in use.

Urinary Hesitation ICD 10 Code


R39.11 is the code used to diagnose a person who is facing hesitation in urination. This is the specific or billable code used for indication of diagnosis with a purpose of reimbursement. This is the American version of ICD 10 code and international versions may differ.

Urinary Retention ICD 10 Code


Thia code is used to diagnose person with problem of urinary retention. The billable or specific code of ICD 10 is R33.9. This code is used for indication of diagnosis of unspecified urinary retention with a purpose of reimbursement.

Increased Urinary Frequency ICD 10 Code


The code used for diagnosis of increased frequency of urine is R35.0. This code is specific or billable for increased frequency of micturition. The purpose of diagnosis is reimbursement. The micturition is another word for urine discharge.

Decreased Urinary Frequency ICD 10 Code


The code used for diagnosis of decreased frequency of urine is R39.12. This code is specific or billable for decreased frequency of micturition. The purpose of diagnosis is reimbursement. The micturition is another word for discharge if urine from urinary bladder through urethra.

Personal History of Urinary Frequency ICD 10 Code


Personal history of urinary frequency is indicated for the diagnosis with a purpose of reimbursement. The billable or specific ICD 10 code available for personal history of urinary frequency is Z87.448.
This is the latest version of ICD 10 and currently in use.

Chronic Urinary Frequency ICD 10 Code


There is no specific ICD-10 code for Chronic Urinary Frequency at the moment.

Urinary Frequency Unspecified ICD 10 Code


There is no specific ICD-10 code for Urinary Frequency Unspecified at the moment.


Cervical Radiculopathy ICD-10: Spondylotic, Disc, Lumbar, Thoracic


Cervical Radiculopathy ICD 10 Code


The billable or specific code for diagnosis of radiculopathy of cervical region is M54.12. This code is used for indicated diagnosis for cervical radiculopathy with a purpose of reimbursement. This is the latest version of ICD 10 code and is currently in use.

Cervical Spondylotic Radiculopathy ICD 10 Code


The codes of spondylotic radiculopathy are different according to the region involved. The billable or specific ICD 10 code used for the diagnosis of cervical spondylotic radiculopathy is M47.22. This code is specific for spondylotic radiculopathy or cervical region for diagnosis with a purpose of reimbursement.

Cervical Disc Radiculopathy ICD 10 Code


The code used for diagnosis of a person with disorders of disc in unspecified cervical region radiculopathy is M50.10. This is the Billable or specific ICD 10 code which is used for indication of diagnosis with a purpose of reimbursement.

Cervical Lumbar Radiculopathy ICD 10 Code


M54.12 is the billable or specific ICD 10 code for diagnosis of a person with lumbar radiculopathy in cervical region. This  code is currently in use to indicate diagnosis with a purpose of reimbursement. This is the latest version of ICD 10 code.

Cervical Thoracic Radiculopathy ICD 10 Code


M54.14 is the billable or specific ICD 10 code for diagnosis of a person with thoracic radiculopathy in cervical region. This code is currently in use to indicate diagnosis with a purpose of reimbursement. This is the latest version of ICD 10 code.

DDD Cervical Radiculopathy ICD 10 Code


DDD means disc degenerative disease. This code is used to diagnose the disc degenerative disease in the cervical region of patient. The billable or specific ICD 10 code used is M50.30. This code is used for indication of diagnosis with a purpose of reimbursement.

History of Cervical Radiculopathy ICD 10 Code


This code is used to record history of a person having cervical radiculopathy. Z87.410 is the billable or specific code used for indication of diagnosis with a purpose of reimbursement. This is the latest version of ICD 10 code currently in use.

Cervical HNP with Radiculopathy ICD 10 Code


This code is used to diagnose a person with disc disorder in unspecified cervical region. The billable or specific ICD 10 code used is M50.10. This is the American version of ICD 10 code and currently in use. The purpose of diagnosis is reimbursement.

Right Sided Cervical Radiculopathy ICD 10 Code


There is no specific ICD-10 code available for Right Sided Cervical Radiculopathy.

Acute Cervical Radiculopathy ICD 10 Code


There is no specific ICD-10 code available for Acute Cervical Radiculopathy.


Left Shoulder Pain ICD-10: Posterior, Tendinitis, Traumatic


Left shoulder pain ICD 10 code


This code is used to diagnose a person with pain in left shoulder of body. The billable or specific ICD 10 code used for diagnosis is M25.512. This code is used for indication of diagnosis with a purpose of reimbursement. It is the latest version of ICD 10 code.

Left posterior shoulder pain ICD 10 code


No specific ICD-10 code available for Left posterior shoulder pain.

Left shoulder tendinitis pain ICD 10 code


This code is used to diagnose a patient with tendinitis in left shoulder. The billable or specific ICD 10 code is M65.811. This code is specific for left side shoulder diagnosis. This code is used to indicate diagnosis with a purpose of reimbursement.

Left shoulder traumatic pain ICD 10 code


Code available for non specified left shoulder traumatic pain I.e. M75.102. No code is available for specific traumatic pain in left shoulder.

Right and left shoulder pain ICD 10 code


The separate codes are available for diagnosis of both right and left shoulder pain. The billable or specific ICD 10 code for left sided shoulder is M25.512 and the billable or specific ICD 10 code for right sided shoulder is M25.511. These codes are used for the purpose of reimbursement.

Right shoulder pain ICD 10 code


This code is used to diagnose a person with pain in right sided shoulder. The billable or specific ICD 10 code used for that purpose is M25.511. This code is used for indication of diagnosis with a purpose of reimbursement.

Left shoulder pain with radiculopathy ICD 10 code


The ICD 10 code used for the diagnosis of radiculopathy on left sided shoulder is M54.10. This code is used for the indication of diagnosis with a purpose of reimbursement. This is the billable or specific code for radiculopathy.

Left sided shoulder and neck pain ICD 10 code


The codes for left sided neck and shoulder pain are different. The billable or specific ICD 10 code used to diagnose left sided neck pain is M54.2 and the Billable or specific ICD 10 code for diagnosis of left sided shoulder is M25.512. These codes are used for reimbursement purpose.

Left shoulder and arm pain ICD 10 code


The codes for both left sided arm and shoulder are different i.e. the ICD 10 code used for pain in left sided arm is M79.602 and the ICD 10 code for pain in left sided shoulder is M25.512. These codes are billable or specific ICD 10 codes which are used for the diagnosis with a purpose of reimbursement.

Acute left shoulder pain ICD 10 code


The code for diagnosis of acute shoulder pain is the same ICD 10 code used for the diagnosis of left sided shoulder pain. The billable or specific ICD 10 code used for indicated diagnosis is M25.512 with a purpose of reimbursement. This is the latest version of ICD 10 code currently in use.

Parastomal Hernia Repair CPT Codes


Parastomal hernia repair CPT code


The CPT code used for the repair of parastomal hernia is not used alone but along with codes of repair of hernia via incision. The codes range from 49560 to 49566. These codes are used when stoma requires no revision.

Paracolostomy parastomal hernia repair CPT code


The stoma if revised after the repair of hernia then the specific code is used which describes revision of colostomy along with the repair of parastomal hernia. The CPT code is 44346. If parastomal hernia is repaired via surgery along with repetitive colostomy, then this code is used.

Laparoscopy parastomal hernia repair CPT code


The CPT code for laparoscopy of parastomal hernia lies between the following codes I.e. 49560 to 49566. These CPT codes are used to describe surgical repair of parastomal hernia. But these codes are only used if stoma requires no repetition.

Open parastomal hernia repair CPT code


Open parastomal hernia can be repaired via surgery and the code lies in the range of following codes I.e.  49560 to 49566. The following CPT codes are used only if stoma requires no repetition. All these codes describe surgical repair of parastomal hernia.

Iieal conduit parastomal hernia repair CPT code


50728 is the code used for description of surgery of parastomal hernia along with repetitive conduit. This code is specific for ileal conduit which is repeated along with the repair surgery of parastomal hernia. In case of parastomal hernia repair without ileal conduit a range of codes is used.

Robotic parastomal hernia repair CPT code


There is no specific code available for Robotic parastomal hernia repair.

Incarcerated parastomal hernia repair CPT code


There is no specific code available for Incarcerated parastomal hernia repair

Laparoscopic paracolostomy parastomal hernia repair CPT code


If laparoscopy is performed repetitively along with repetitive colostomy in combination with surgical repair of parastomal hernia then the specific code used is 44346. In case of repair of two different hernias, the CPT code used is 49560. This code elaborate different modifications of procedure.

Degenerative Disc Disease ICD-10


Cervical degenerative disc disease ICD 10 code


The code used for the diagnosis of a patient with degenerative disc disease in cervical region. The Billable or specific ICD 10 code user for this purpose is M50.30. This code is used for indication of diagnosis with a purpose of reimbursement.

ICD 10 code for degenerative disc disease unspecified


This code is used to diagnose a patient with degenerative disc disease in an unspecified region. The billable or specific ICD 10 CM code used for this purpose is M51.36. This code is used with a purpose of reimbursement.

Degenerative disc disease thoracic ICD 10 code


This code is used to diagnose patient with degenerative disc disease which is intervertebral I.e. in thoracic region. The billable or specific ICD 10 CM code used is M51.34. This code us used for indication of diagnosis with a purpose of reimbursement.

ICD 10 code for lumbar degenerative disc disease with rediculopathy


This code is used to diagnose patient with degenerative disc disease in lumbar region along with rediculopathy. The billable or specific ICD 10 CM code used for that purpose is M51.16. This code is used for diagnosis with a purpose of reimbursement.

Degenerative disc disease ICD 10 code


The code used for diagnosis of patient with degenerative disc disease. The degenerative disc disease involves mainly 3 regions and every region has different code. Like in thoracolumbar region the code used is M51.35. In lumbar region with degenerative disc disease the code used is 51.35. Likewise the code for lumbosacral region is 51.37.

Lumbar disc displacement ICD 10 code


The code used for diagnosis of patient with disc displacement in lumbar region. The billable or specific ICD 10 code used for this purpose is M51.26. This code is used to indicate diagnosis with a purpose of reimbursement.

Lumbar spondylosis ICD 10 code


The code is used to diagnose Patient with spondylosis In lumbar region. The billable or specific ICD 10 code used for that purpose is M47.817. This code is used to indicate diagnosis with a purpose of reimbursement.

Lumbar disc herniation ICD 10 code


The code used for diagnosis of patient with disc herniation in lumbar region. The Billable or specific ICD 10 code used for that purpose is M51.06. This code is used to indicate diagnosis with a purpose of reimbursement.

Corneal Abrasion ICD-10


This code is used to diagnose a patient with corneal abrasion and conjunctival injury due to a foreign body. The billable or specific ICD 10 code used for this purpose is S05.00XA. This code is used to indicate diagnosis with a purpose of reimbursement.

ICD 10 CM code for corneal abrasion right eye


This code is used to diagnose a patient with corneal abrasion specifically in right sided eye. The Billable or specific ICD 10 CM code used for that purpose is S05.01XA. This code is used for indication of diagnosis with a purpose of reimbursement.

ICD 10 code for unspecified eye injury


This code is used to diagnose Patient with eye injury which is unspecified. The billable or specific ICD 10 CM code used for that purpose is S05.92XA. This code is used to indicate diagnosis with a purpose of reimbursement.

Conjunctival abrasion left eye ICD 10 code


This code is used to diagnose patient with conjunctival abrasion specifically in left eye. The billable or specific ICD 10 CM code used for that purpose is S05.02XA. This code is used to indicate diagnosis with a purpose of reimbursement.

ICD 10 code for corneal foreign body


This code is used to diagnose a patient with injury in cornea due to a foreign body. The billable or specific ICD 10 CM code used for that purpose is T15.02XA. This code is used to indicate diagnosis with a purpose of reimbursement.

Corneal abrasion ICD 9


This code is used to diagnose corneal abrasion which is unspecified, without foreign body and without initial encounter. The billable or specific ICD 9 code used for that purpose is 918. 1. This code is converted to ICD 10 CM code I.e. S05.00XA in 2015 or 16.

Acute corneal abrasion right eye ICD 10 code


This code is used to diagnose patient with acute corneal abrasion which is without foreign body and initial encounter specifically in right eye. The billable or specific ICD 10 CM code used for that purpose is S05.01XA. This code is used for indication of diagnosis with a purpose of reimbursement.

Corneal abrasion with subsequent encounter ICD 10 code


This code is used to diagnose a patient with corneal abrasion which is unspecified and without foreign body but with subsequent encounter. The billable or specific ICD 10 CM code used for that purpose is S05.01XD. This code is used to indicate diagnosis with a purpose of reimbursement.

Rotator Cuff Tear ICD-10



Full Thickness Rotator Cuff Tear ICD 10 Code


This code is used to diagnose a patient with rotator cuff tear of full thickness which is not traumatic. The billable or specific code used for that purpose is M75.120. This code is used to diagnose with a purpose of reimbursement.

ICD 10 code for rotator cuff repair surgery


This code is used to diagnose patient with rotator cuff repaired via surgery. The billable or specific code used for that purpose is M75.102. This code is used for indication of diagnosis with a purpose of reimbursement.

Rotator cuff strain ICD 10 code


This code is used to diagnose patient with strain in rotator cuff i.e. unspecified and not traumatic. The billable or specific ICD 10 code used for that purpose is S46.011A. This code is used to diagnose with a purpose of reimbursement.

ICD 10 code for full thickness tear of supraspinatus tendon


This code is used to diagnose patient with supraspinatus tendon tear of full thickness without trauma. The billable or specific ICD 10 code for that purpose is S46.012A. This code is used for indication of diagnosis with a purpose of reimbursement.

Incomplete rotator cuff tear ICD 10 code


This code is used to diagnose a patient with incomplete tear in rotator cuff i.e. not traumatic. The billable or specific ICD 10 code used for that purpose is M75.111. This code is used for indication of diagnosis with a purpose of reimbursement.

Status post rotator cuff repair ICD 10 code


This code is used for diagnosis of a patient post condition which is after surgical repair of rotator cuff. The billable or specific ICD 10 code used for that purpose is M75.101. This code is used to indicate diagnosis with a purpose of reimbursement.

Labral tear ICD 10 code


This code is used to diagnose patient with tear in specific ligament i.e. superior glenoid labrum. It is non traumatic. The billable or specific ICD 10 code used for that purpose is S43.431A. This code is used to indicate diagnosis with a purpose of reimbursement.

Right shoulder impingement ICD 10 code


This code is used to diagnose patient with impingement on the right side of shoulder. The billable or specific ICD 10 code is used for that purpose is M75.41. This code is used for indication of diagnosis with a purpose of reimbursement.

Spinal Stenosis ICD-10



Cervical spinal stenosis ICD 10 code


This code is used to diagnose spinal stenosis of a patient in a cervical region. The billable or specific ICD 10 code used for this purpose is M48.02. this code is used to indicate diagnosis with a purpose of reimbursement.

Unspecified spinal stenosis ICD 10 code


This code is used for diagnosis of spinal stenosis in an unspecified region. The billable or specific ICD 10 CM code used for this purpose is M48.00. This code is used for indication of diagnosis with a purpose of reimbursement.

Lumbar stenosis with radiculopathy ICD 10 code


This code is used for diagnosis of a patient with stenosis in lumbar region along with radiculopathy. The billable or specific ICD 10 CM code used for this purpose is M54.16. This code is used for indication of diagnosis with a purpose of reimbursement.

Congenital spinal stenosis ICD 10 code


This code is used in case spinal stenosis is congenital. The billable or specific ICD 10 CM code used for this purpose is Q76.49. This code is used to indicate diagnosis with a purpose of reimbursement.
This is the latest version of ICD 10 code.

ICD 10 code for cervical stenosis with myelopathy


This code is used for diagnosis of stenosis in cervical region along with myelopathy. The billable or specific ICD 10 CM code used for that purpose is M47.12. This code is used to indicate diagnosis with a purpose of reimbursement.

ICD 10 code for lumbar spondylolisthesis


This code is used to diagnose spondylolisthesis in lumbar region. The billable or specific ICD 10 code used for this purpose is M43.16. This code is used to indicate diagnosis with a purpose of reimbursement. This is the latest version of ICD 10 code.

ICD 10 code for lumbar stenosis with radiculopathy


This code is used to diagnose patient with stenosis in lumbar region along with radiculopathy. The billable or specific ICD 10 code used for this purpose is M54.16. This code is used to indicate diagnosis with a purpose of reimbursement.

Lumbar radiculopathy ICD 10 code


The lumbar region consist of three main parts I.e. thoracolumbar, lumbosacral and lumbar region. So these parts have three different codes. The code for thoracolumbar region is M54.15. The core for lumbar region with radiculopathy is M54.16. The code used for diagnosis of lumbosacral region is M54.17.

ICD 10 code for history of cervical spinal stenosis


This code is used to record history of patient with spinal stenosis in cervical region. The billable or specific ICD 10 code used for this purpose is M48.02. This code is used for indication of diagnosis with a purpose of reimbursement.

Posterior Vitreous Detachment ICD-10


ICD 10 code for posterior vitreous detachment bilateral


This code is used to diagnose patient with vitreous degeneration posteriorly which is bilateral. The billable or specific ICD 10 code used for that purpose is H43.813. This code is used for indication of diagnosis with a purpose of reimbursement.

Posterior vitreous detachment right eye ICD 10 code


This code is used to diagnose patient with vitreous detachment specifically on right sided eye. The billable or specific ICD 10 code used for that purpose is H43.811. This code is used for indication of diagnosis with a purpose of reimbursement.

Posterior vitreous detachment bilateral ICD 10 code


This code is used to diagnose patient with vitreous detachment at posterior side bilateral. The billable or specific ICD 10 code used for that purpose is H43.813. This code is used to indicate diagnosis with a purpose of reimbursement.

ICD 10 code for vitreous detachment left eye


This code is used to diagnose patient with vitreous detachment specifically in left eye. The billable or specific ICD 10 code used for that purpose is H43.812. This code is used for indication of diagnosis with a purpose of reimbursement.

Posterior vitreous detachment left eye ICD 10 code


This code is used to diagnose patient with vitreous detachment at posterior side specifically of left eye. The billable or specific ICD 10 code used for that purpose is H43.812. This code is used for indication of diagnosis with a purpose of reimbursement.

Vitreous floaters ICD 10 code


This code is used to diagnose patient with vitreous floaters. The Billable or specific ICD 10 code used for that purpose is H43.399. This code is used for indication of diagnosis with a purpose of reimbursement. This is the latest version of ICD 10 code.

Vitreoretinal Tuft ICD 10 code


This code is used to diagnose patient with other un specified disorders of retina. The billable or specific ICD 10 CM code used for that purpose is H35.89. This code is used for indication of diagnosis with a purpose of reimbursement.

Hemorrhagic posterior vitreous detachment ICD 10 code


This code is used for diagnosis of a patient with vitreous hemorrhage with detachment at posterior side. The Billable or specific ICD 10 code used for that purpose is H43.10. This code is used for indication of diagnosis with a purpose of reimbursement.

CPT Code For Various Procedures


CPT code for Lysis of Adhesion


CPT includes various codes which are related to adhesions. These codes are classified according to the location of adhesion. Some of the examples are 58660 is the code used for ovaries and tubes, laparoscopy and 58740 is the code used for ovariolysis, salpingolysis.

CPT code for Aortic Valve Replacement


The CPT codes are retairing soon. The CPT code used for aortic valve replacement transcatheter along with prosthetic valve is 33366. 0318T is the CPT code which is retiring soon. Well 33366 is the CPT code which is in use.

Laparoscopic Spleenectomy CPT code


There are no. of codes which are used for spleenectomy. Some of them are as follows
38115 is the code for repair of ruptured spleen.
38120 is the code used for laparoscopic spleenectomy.
38129 is the code used for unlisted laparoscopic spleenectomy.
38200 for injection in spleenectomy.

Polypectomy CPT code


As removal of polyps from cervical region is considered a minor surgery, that's why there isn't any proper CPT code for polypectomy. If this procedure is removed from colposcopic guidance, then it's CPT coding is possible. The reported code is 57452. No other code is reported yet.

Lumpectomy CPT code


Lumpectomy is the procedure used for the biopsy of lymph node. This procedure had an add on code i.e. 38900. This CPT code is specifically used for lumpectomy. This CPT code indicate about the work done during operation. This work done identifies sentinal lymph nodes.

Carotid Endarterectomy CPT code


Carotid endarterectomy is the procedure used to remove plaque or thrombus from the artery. 35301 is the code used for that procedure but it is not a CPT code. The appropriate CPT code used for carotid endarterectomy is 35301. CPT guidelines suggest to use that code only in case of removal of plaque and thrombus from arteries.

Tarsal Tunnel Release CPT code


Tarsal tunnel is a syndrome which is diagnosed with a CPT code 28035. In this syndrome the patient feels pain in the posteromedial border of ankle and foot. So this CPT code is used to diagnose tarsal tunnel syndrome.

CPT code for Gastrostomy Tube Replacement


The CPT code is available for the change of peg tube. If the peg tube comes out of patient during nursing, then the change of peg tube or replacement of gastrostomy tube is required and the code used for that purpose is 43760.

General Endotracheal Anesthesia CPT code


The code for general endotracheal anesthesia is available in two main cases i.e. stand alone emergent or semi emergent endotracheal intubation. For this purpose a flexible or rigid endoscope is used. The code used for that purpose is 31500. No code is available for elective endotracheal intubation.

Ulnar Nerve Transposition CPT code


The ulnar nerve transposition is the process in which the nerve is moved from it's actual place to behind the medial epicondyle. And moved to a new place right in front of it. The code used for that procedure is 64718 / 24358.

Uvulopalatopharyngoplasty CPT code


The coding system have bundle up the codes for tonsillectomy and uvulopalatopharyngoplasty i.e. 42826 and 42145 respectively. When these two procedures are performed together than the CPT code of uvulopalatopharyngoplasty is used i.e. 42145 because tonsillectomy will take only 15 minutes to be done.
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