Mediastinoscopy with biopsy is a procedure in which a lighted instrument (mediastinoscope) is inserted in the space in the chest between the lungs (mediastinum), and tissue is taken (biopsy) from any unusual growth or lymph nodes.
How the test is performedThis procedure is done in the hospital. You will be given general anesthesiaso that you are asleep and do not feel any pain. A tube (endotracheal tube) is placed in your nose or mouth to help you breathe.
A small surgical cut is made in the neck. A device called a mediastinoscope is inserted through this incision into the mid-part of the chest.
Tissue samples are taken of the lymph nodes around the airways. The scope is then removed and the surgical cut is closed with stitches.
How to prepare for the testYou must sign an informed consent form. You will not be able to have food or fluid for 8 hours before the test.
How the test will feelYou will be unconscious during the procedure. There will be some tenderness at the site of the procedure afterward. You may have a sore throat after the procedure.
Why the test is performedThis procedure is done to look at and then biopsy lymph nodes or any other abnormal growth in the front part of the mediastinum, near your chest wall.
Biopsies of lymph node tissues are normal and do not show signs of cancer or infection.
What abnormal results meanAbnormal findings may indicate:
There is a risk of puncturing the esophagus, trachea, or blood vessels. In some circumstances, this can lead to potentially fatal bleeding.
ReferencesPark DR, Vallieres E. Tumors and cysts of the mediastinum. In: Mason RJ, Broaddus VC, Martin TR, et al, eds.Murray and Nadel's Textbook of Respiratory Medicine. 5th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 76.Mediastinoscopy with biopsy is a procedure in which a lighted instrument (mediastinoscope) is inserted in the space in the chest between the lungs (mediastinum), and tissue is taken (biopsy) from any unusual growth or lymph nodes.
How the test is performedThis procedure is done in the hospital. You will be given general anesthesiaso that you are asleep and do not feel any pain. A tube (endotracheal tube) is placed in your nose or mouth to help you breathe.
A small surgical cut is made in the neck. A device called a mediastinoscope is inserted through this incision into the mid-part of the chest.
Tissue samples are taken of the lymph nodes around the airways. The scope is then removed and the surgical cut is closed with stitches.
How to prepare for the testYou must sign an informed consent form. You will not be able to have food or fluid for 8 hours before the test.
How the test will feelYou will be unconscious during the procedure. There will be some tenderness at the site of the procedure afterward. You may have a sore throat after the procedure.
Why the test is performedThis procedure is done to look at and then biopsy lymph nodes or any other abnormal growth in the front part of the mediastinum, near your chest wall.
Biopsies of lymph node tissues are normal and do not show signs of cancer or infection.
What abnormal results meanAbnormal findings may indicate:
There is a risk of puncturing the esophagus, trachea, or blood vessels. In some circumstances, this can lead to potentially fatal bleeding.
ReferencesPark DR, ValliA¨res E. Tumors and cysts of the mediastinum. In: Mason RJ, Broaddus VC, Martin TR, et al, eds.Murray and Nadel's Textbook of Respiratory Medicine. 5th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 76. Reviewed ByReview Date: 05/17/2010
Shabir Bhimji, MD, PhD, Specializing in Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
what is the Icd-9-cm code for mediastinoscopy with biopsy for mass
what is the Icd-9-cm code for mediastinoscopy with biopsy for mass
39400
39400
its depend upon the procedure for doing lung biopsy(open lung biospy,needle biopsy,bronchoscopic biopsy,video-assisted thoracoscopic surgery and mediastinoscopy) the risk of death from needle biopsy is rare. The risk of death from open biopsy is one in 3,000 cases. In mediastinoscopy, death occurs in fewer than one in 3,000 cases.
CPT Code 39400 - Mediastinoscopy, includes biopsy(ies), when performed
The risk of death from needle biopsy is rare. The risk of death from open biopsy is one in 3,000 cases. In mediastinoscopy, death occurs in fewer than one in 3,000 cases.
Mediastinoscopy is usually performed in a hospital under general anesthesia.
patients are taken to a recovery room for observation. If no other complications develop, they are taken back to the hospital room. Stitches are usually removed after seven to 14 days.
A mediastinoscopy procedure is usually performed by a thoracic or general surgeon in a hospital setting
In addition, better results of fine-needle aspiration and core-needle biopsy investigations, along with new techniques in thoracoscopy offer additional options in examining mediastinal masses.
In some cases, analysis of the tissue sample which shows malignancy will suggest the need for immediate surgery while the patient is already prepared and under anesthesia.