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Surgical Management of Empysema
Surgical Management of Empysema John A Odell MB ChB, FRCS(Ed), FACS Emeritus Professor of Surgery Mayo Clinic College of Medicine Previously Surgical Director Lung Transplantation ©2013 MFMER | slide-1 Problem case. How would you manage? • 64yr male • Previous RLL bullectomy. • Recent left pneumothorax managed elsewhere with chest tube placement. • Because of continued air-leak talc pleurodesis. • Air-leak continues. ©2013 MFMER | slide-2 • On nasal oxygen. Dyspneic on walking • Significant air-leak. More dyspneic when suction applied to chest drain. • FEV1 40% predicted. DLCO 12% predicted. Options? • Thoracotomy and close air leak surgically • Videothoracoscopy and closure of air-leak • Thoracotomy and decortication • Remove chest drain • List for transplantation Historical Treatment of Emphysema • Abdominal compression belts. The stimulus was the observation that emphysematous patients lean forward when breathing. • Pneumoperitoneum. In an attempt to restore diaphragmatic curvature. • Lungs too large for the chest – costochondrectomy or transverse sternotomy to provide more room. Multiple wedge excisions. • Chest grown too large – thoracoplasty • Pleurodesis. Emphysema results from alveolar wall ischemia. • Phrenectomy. Overvigerous inspiration was ripping alveolar walls. • Hilar denervation. To decrease bronchoconstriction and mucous production mediated by the parasympathetic nervous system. • Whole lung irradiation. To increase elastic recoil by inducing fibrosis. ©2013 MFMER | slide-7 Variants of Emphysema that may be Surgically -
Effect of an Indwelling Pleural Catheter Vs Talc Pleurodesis On
This supplement contains the following items: 1. Original protocol, final protocol, summary of changes. 2. Original statistical analysis plan. There were no further changes to the original statistical analysis plan. Downloaded From: https://jamanetwork.com/ on 10/02/2021 The Australasian Malignant Pleural Effusion Trial (AMPLE) A Multicentre Randomized Study Comparing Indwelling Pleural Catheter vs Talc Pleurodesis in Patients with Malignant Pleural Effusions Ethics Registration number 2012-005 Protocol version number 1.0 Protocol date 10/01/2012 Authorised by: Name: Prof YC Gary Lee Role: Chief Investigator Signature: Date: 10/01/2012 Downloaded From: https://jamanetwork.com/ on 10/02/2021 General Information This document describes the Western Australian Randomised Malignant Effusion trial for the purpose of submission for review by the relevant human research and ethics committees. It provides information about procedures for entering patients into the trial and this protocol should not be used as a guide for the treatment of other patients; every care was taken in its drafting, but corrections or amendments may be necessary. Questions or problems relating to this study should be referred to the Chief Investigator or Trial Coordinator. Compliance The trial will be conducted in compliance with this protocol, the National Statement on Ethical Conduct in Human Research, data protection laws and other guidelines as appropriate. It will be registered with the Australia and New Zealand Clinical Trials Registry, once ethical approval is secured. -
National Correct Coding Initiative Policy Manual for Medicare Services Revision Date: 1/1/2019
National Correct Coding Initiative Policy Manual for Medicare Services Revision Date: 1/1/2019 Current Procedural Terminology (CPT) codes, descriptions and other data only are copyright 2018 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association. Applicable FARS\DFARS Restrictions Apply to Government Use. Fee schedules, relative value units, conversion factors, prospective payment systems, and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for the data contained or not contained herein. TABLE OF CONTENTS FOR NATIONAL CORRECT CODING INITIATIVE POLICY MANUAL FOR MEDICARE SERVICES Introduction Introduction Intro-3 Purpose Intro-3 Policy Manual Background Intro-6 Edit Development and Review Process Intro-7 Sources of Information about NCCI and MUE Intro-9 Correspondence to CMS about NCCI and its Contents Intro-10 Chapter I - General Correct Coding Policies List of Acronyms I-3 A. Introduction I-5 B. Coding Based on Standards of Medical/Surgical I-9 Practice C. Medical/Surgical Package I-12 D. Evaluation and Management (E&M) Services I-17 E. Modifiers and Modifier Indicators I-19 F. Standard Preparation/Monitoring Services for I-27 Anesthesia G. Anesthesia Service Included in the Surgical Procedure I-27 H. HCPCS/CPT Procedure Code Definition I-28 I. CPT Manual and CMS Coding Manual Instructions I-29 J. CPT “Separate Procedure” Definition I-30 K. Family of Codes I-30 L. -
2019 Coding and Payment Information Pleural Effusions and Ascites Management
2019 coding and payment information Pleural effusions and ascites management The information contained in this document, including Reimbursement rates shown are Medicare national the codes supplied, is provided for informational payments for 2019 and do not reflect actual payments purposes only. BD makes no statement, promise or made to individual providers, as payments are adjusted guarantee concerning the appropriateness of any codes specific to particular geographic regions. for a particular procedure, actual levels of All information is subject to change without notice. In reimbursement, payment or charge or that addition, payers or local carriers may have their own reimbursement will be made. coding and billing requirements. Consult your payer This is not intended to be a comprehensive guide to all organization with regard to local reimbursement policies. coding and payment information. 2019 Medicare outpatient facility rates CPT® 2019 APC OPPS 2019 ASC Description APC Status code base rate* base rate Pleural catheter procedures 32550 Insertion of indwelling tunneled pleural catheter 5341 J1 $2,947 $1,790 32552 Removal of indwelling tunneled pleural catheter with cuff 5181 Q2 $620 $319 32560 Instillation via chest tube/catheter, agent for pleurodesis 5181 T $620 N/A 32650 Thoracoscopy, surgical, with pleurodesis (e.g., mechanical or chemical) N/A; inpatient procedure Peritoneal catheter procedures Insertion of tunneled intraperitoneal catheter (e.g., dialysis, intraperitoneal chemotherapy instillation, management of ascites), 49418 -
Toman's Tuberculosis Case Detection, Treatment, and Monitoring
TOMAN’S TUBERCULOSIS TOMAN’S TUBERCULOSIS CASE DETECTION, TREATMENT, AND MONITORING The second edition of this practical, authoritative reference book provides a rational basis for the diagnosis and management of tuberculosis. Written by a number of experts in the field, it remains faithful to Kurt Toman’s original question-and-answer format, with subject matter grouped under the three headings Case detection, Treatment, and Monitoring. It is a testament to the enduring nature of the first edition that so much CASE DETECTION, TREA material has been retained unchanged. At the same time, the new edition has had not only to address the huge resurgence of tuber- culosis, the emergence of multidrug-resistant bacilli, and the special needs of HIV-infected individuals with tuberculosis, but also to encompass significant scientific advances. These changes in the profile of the disease and in approaches to management have inevitably prompted many new questions and answers and given a different complexion to others. Toman’s Tuberculosis remains essential reading for all who need to AND MONITORING TMENT, QUESTIONS learn more about every aspect of tuberculosis – case-finding, manage- ment, and effective control strategies. It provides invaluable support AND to anyone in the front line of the battle against this disease, from ANSWERS programme managers to policy-makers and from medical personnel to volunteer health workers. SECOND EDITION ISBN 92 4 154603 4 WORLD HEALTH ORGANIZATION WHO GENEVA Toman’s Tuberculosis Case detection, treatment, and monitoring – questions and answers SECOND EDITION Edited by T. Frieden WORLD HEALTH ORGANIZATION GENEVA 2004 WHO Library Cataloguing-in-Publication Data Toman’s tuberculosis case detection, treatment, and monitoring : questions and answers / edited by T. -
114.3 Cmr: Division of Health Care Finance and Policy Ambulatory Care
114.3 CMR: DIVISION OF HEALTH CARE FINANCE AND POLICY AMBULATORY CARE 114.3 CMR 40.00: RATES FOR SERVICES UNDER M.G.L. c. 152, WORKERS’ COMPENSATION ACT Section 40.01: General Provisions 40.02: General Definitions 40.03: Service and Rate Coverage Provisions 40.04: Provisions Affecting Eligible Providers 40.05: Policies for Individual Service Types 40.06: Fees 40.07: Appendices 40.08: Severability 40.01: General Provisions (1) Scope, Purpose and Effective Date. 114.3 CMR 40.00 governs the payment rates effective April 1, 2009 for purchasers of health care services under M.G.L. c. 152, the Workers’ Compensation Act. Payment rates for services provided by hospitals are set forth in 114.1 CMR 41.00. Program policies relating to medical necessity and clinical appropriateness are determined pursuant to M.G.L. c. 152 and 452 CMR 6.00. (2) Coverage. The payment rates set forth in 114.3 CMR 40.06 are full payment for services provided under M.G.L. c. 152, § 13, including any related administrative or overhead costs. The insurer, employer and health care service provider may agree upon a different payment rate for any service set forth in the fee schedule in 114.3 CMR 40.00. No employee may be held liable for the payment for health care services determined compensable under M.G.L. c. 152, § 13. (3) Administrative Bulletins. The Division may issue administrative bulletins to clarify substantive provisions of 114.3 CMR 40.00, or to publish procedure code updates and corrections. For coding updates and correction, the bulletin will list: (a) new code numbers for existing codes, with the corresponding cross references between existing and new codes numbers; (b) deleted codes for which there are no corresponding new codes; and (c) codes for entirely new services that require pricing. -
Agenda Item 5
List A (O) Respiratory system treatments and procedures. (1) Biopsy and/or excision (removal) of lesion of larynx, vocal cords, trachea (A) Loss or change of voice. (B) Swallowing or breathing difficulties. (C) Perforation (hole) or fistula (connection) in esophagus (tube from throat to stomach). (2) Rhinoplasty (surgery to change the shape of the nose) or nasal reconstruction with or without septoplasty A) Deformity of skin, bone or cartilage. (B) Creation of new problems, such as perforation of the nasal septum (hole in wall between the right and left halves of the nose) or breathing difficulty. (3) Submucous resection of nasal septum or nasal septoplasty (surgery to remove blockage in or straighten the nose) (A) Persistence, recurrence or worsening of the obstruction. (B) Perforation of nasal septum (hole in wall between the right and left halves of the nose) with dryness and crusting. (C) External deformity of the nose. (4) Sinus surgery/endoscopic sinus surgery (A) Spinal fluid leak (B) Visual loss or other eye injury (C) Numbness in front teeth and palate (D) Loss or reduction in sense of taste or smell (E) Recurrence of disease (F) Empty Nose Syndrome (sensation of nasal congestion, sensation of not being able to take in adequate air through nose) (G) Injury to tear duct causing drainage of tears down the cheek (H) Brain injury and/or infection (I) Injury to nasal septum (J) Nasal obstruction (5) Lung biopsy (A) Air leak with pneumothorax (leak of air from lung to inside of chest causing the lung to collapse) with need for insertion of chest drainage tube into space between lung and chest wall or repeat surgery. -
Hyperbaric Medicine Center During the Actual Questions About the Treatment Process Are Treatment Process, for All Patients’ Confidentiality, No Always Welcomed
Patient Label / Name HBO - HYPERBARIC OXYGEN PATIENT EDUCATION - Page | 1 FAQs HBO is a medical treatment which enhances the body’s natural healing process by inhalation of 100% oxygen in a total body chamber, where atmospheric pressure is WHAT IS HBO? increased and controlled. It is used for a wide variety of treatments usually as an adjunctive part of an overall HBO or HBOT stands for: Hyperbaric Oxygen Therapy medical care plan that can be done on an inpatient or WHAT DOES IT DO? outpatient basis. HBO or HBOT, simply, HBOT is a means of providing WAIT! CAN YOU TELL ME MORE ABOUT THE additional oxygen to your body tissues. “ENTIRELY CLOSED PRESSURE CHAMBER”? HOW DOES IT WORK? Your entire body will go in a closely monitored, TRANSPARENT, 100% ACRYLIC topped, sealed chamber. By exposing the Most patients have plenty of room to get comfortable entire body to and can enjoy their 1.5-2 hour treatments while watching oxygen under TV (installed on each chamber with internal speakers) or increased napping. atmospheric A highly qualified Hyperbaric Tech will be in the room pressure. with you at all times during your treatment, and you will be closely monitored before, during and after all HBO The patient is entirely enclosed in a pressure chamber Treatments. breathing 100% oxygen (O2) at greater than one atmosphere HBO Chambers have microphones that allow your HBO (atm) pressure. Tech to hear you without need to push any buttons. SO, HOW DOES THAT HELP? Simply call out and you will be heard. If you should need to cut your treatment short or want to get out at any HBO therapy serves 4 PRIMARY FUNCTIONS: time, your HBO Tech is always right there to safely decompress the chamber and help you out and call for 1. -
Lymphangioleiomyomatosis (LAM)
American Thoracic Society PATIENT EDUCATION | INFORMATION SERIES Lymphangioleiomyomatosis (LAM) What is LAM? Lymphangioleiomyomatosis (lim-FAN-jee-oh-ly-oh-my-oh-ma- Pneumothroax TOE-sis), also known as LAM, is a rare lung disease that mainly Lung Cysts affects women, usually during their childbearing years. LAM occurs in 3-8 women per million in the general population. LAM is caused by mutations in the tuberous sclerosis complex (TSC) genes. These mutations lead to growth of abnormal cells that spread by the blood stream and make their way into the lungs. Once in the lungs, these cells create holes in the lung tissue (called cysts) that can weaken breathing and the ability to take up oxygen. What are the symptoms of LAM? blood protein called vascular endothelial growth factor-D Symptoms of LAM are similar to other lung diseases. Some (VEGF-D). Elevated VEGF-D levels can help confirm the times patients can be misdiagnosed with asthma, bronchitis, diagnosis of LAM without needing a lung biopsy. Blood or emphysema. These symptoms include: levels of VEGF-D should be checked before doing invasive procedures, such as lung biopsy. ■■ Shortness of breath Lung Biopsy ■■ Fatigue In most (>70%) patients, the diagnosis of LAM can be ■■ Lung collapse, also known as a pneumothorax confirmed based on clinical and/or laboratory findings and ■■ Chest pain does not require a biopsy. However, a lung biopsy may be CLIP AND COPY AND CLIP ■■ Cough needed to confirm the diagnosis of LAM in some cases. ■■ Coughing up small amounts blood There are two ways to do a lung biopsy to diagnose LAM: How is LAM diagnosed and monitored? 1. -
Emblemhealth's Pre-Authorization List
EmblemHealth's Pre-authorization List This is a complete list of all services requiring a Prior Approval for HIP members or a Pre-Certification for GHI members* (jointly referred to as "pre-authorization") subject to their benefit plan's coverage for all places of service, including Office (POS 11). The list accounts for EmblemHealth's medical policies, medical technology database, provider manual, and special utilization management programs. Pre-authorization is not a guarantee of payment. Payment is subject to a member's eligibility for benefits on the date of service. Emergency services do not require a pre-authorization. *GHI PPO City of New York employees and non-Medicare eligible retirees with GHI PPO benefits will be managed by Empire BCBS for inpatient and outpatient services. To see what needs authorization, use their look-up tool: https://www.empireblue.com/wps/portal/ehpprovider. CPT/ HCPCS Description Code 0008M Oncology (breast), mRNA analysis of 58 genes using hybrid capture, on formalin-fixed paraffin- embedded (FFPE) tissue, prognostic algorithm reported as a risk score 00640 Anesthesia for manipulation of the spine or for closed procedures on the cervical, thoracic or lumbar spine 0085T Breath test for heart transplant rejection 0100T Placement of a subconjunctival retinal prosthesis receiver and pulse generator, and implantation of intra-ocular retinal electrode array, with vitrectomy 0195T Arthrodesis, pre-sacral interbody technique, disc space preparation, discectomy, without instrumentation, with image guidance, includes -
Tracheotomy in COVID-19 Patients: Optimizing Patient Selection and Identifying Prognostic Indicators
Tracheotomy in COVID-19 patients: Optimizing Patient selection and identifying prognostic indicators Stubington T.J.1, Mallick A.S., Garas G.3, Stubington E.4 ,Reddy C.5 , Mansuri M.S.6 1. MBBS BMedSci MRCS(ENT) PGCert (MedEd), Department of Otorhinolaryngology - Head and Neck Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, DE22 3NE, United Kingdom 2. MBBS MRCS (DOHNS) PhD, Department of Otorhinolaryngology - Head and Neck Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, DE22 3NE, United Kingdom 3. PhD FRCS FEBORL-HNS, Department of Otorhinolaryngology - Head and Neck Surgery, Nottingham University Hospitals NHS Trust, Queens Medical Center Campus, Nottingham, NG7 2UH, United Kingdom 4. BSc, Mres, PhD STOR-I Centre for Doctoral Training, Lancaster university, UK 5. MBBS FANZCA, Department of Anaesthesia, Royal Derby Hospital, Uttoxeter Road, Derby, DE22 3NE 6. MBChB, Msc, Dip (RMES), FRCS (ORL), Department of Otorhinolaryngology - Head and Neck Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, DE22 3NE, United Kingdom Corresponding Author: Thomas James Stubington, Dept. Head and Neck Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, DE223NE [email protected] Keywords SARS-CoV-2, Coronavirus, COVID-19, Pandemic, Tracheotomy Word Count: 1787 Abstract Background Tracheotomy, through its ability to wean patients off ventilation, can shorten ICU length of stay and in doing so increase ICU bed capacity, crucial for saving lives during the COVID-19 pandemic. To date, there is a paucity of patient selection criteria and prognosticators to facilitate decision-making and enhance precious ICU capacity. Methods Prospective study of COVID-19 patients undergoing tracheotomy (n=12) over a 4-week period (March-April 2020). -
Endoscopy Matrix
Endoscopy Matrix CPT Description of Endoscopy Diagnostic Therapeutic Code (Surgical) 31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) X 31233 Nasal/sinus endoscopy, diagnostic with maxillary sinusoscopy (via X inferior meatus or canine fossa puncture) 31235 Nasal/sinus endoscopy, diagnostic with sphenoid sinusoscopy (via X puncture of sphenoidal face or cannulation of ostium) 31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or X debridement (separate procedure) 31238 Nasal/sinus endoscopy, surgical; with control of hemorrhage X 31239 Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy X 31240 Nasal/sinus endoscopy, surgical; with concha bullosa resection X 31241 Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery X 31253 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed 31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) X 31255 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior 31256 Nasal/sinus endoscopy, surgical; with maxillary antrostomy X 31257 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior), including sphenoidotomy 31259 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus 31267 Nasal/sinus endoscopy, surgical; with removal of