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Old 04-13-2012, 10:35 AM
twilson@fmchosp.com twilson@fmchosp.com is offline
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Question Drainage of pelvic abscess

We have a physician who took a patient to the OR for a large pelvic mass (left of the rectal and anal canal with extensive suprasphincteric component and presacral component). There was an opening below the sacrum that was draining. He did a digital rectal exam and with digital pressure he was able to drain purulent material so he went in through the opening and placed a Malecot catheter for drainage. Since there was not an incision done how would this be coded? The closest thing we could come up with was 58823 but it is a male and that is a female code. Any suggestions would be greatly appreciated.
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Old 04-13-2012, 09:28 PM
colorectal surgeon colorectal surgeon is offline
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Please post the op note. 46040 may be one to consider.
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Old 04-24-2012, 09:55 AM
rollinholy rollinholy is offline
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Quote:
Originally Posted by twilson@fmchosp.com View Post
We have a physician who took a patient to the OR for a large pelvic mass (left of the rectal and anal canal with extensive suprasphincteric component and presacral component). There was an opening below the sacrum that was draining. He did a digital rectal exam and with digital pressure he was able to drain purulent material so he went in through the opening and placed a Malecot catheter for drainage. Since there was not an incision done how would this be coded? The closest thing we could come up with was 58823 but it is a male and that is a female code. Any suggestions would be greatly appreciated.
is 45020 a possibility?
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