Coder2009
New
CLINICAL INDICATION: [ venous malformation of the left foot ]]
Informed consent was obtained from the patient's parent.
With the patient under general anesthesia, the skin over the affected area was
prepped and draped.
Doxycycline was reconstituted in a concentration of 25 mg/mL of contrast.
The palpable lesion [ along the lateral aspect of the left forefoot ] was
punctured using a 21-gauge needle. When blood flowed back through the needle,
contrast was injected documenting the correct intralesional positioning of the
needle, absence of
extravasation of contrast, no significant communication with normal venous
system. A total of [ 200 ] mg of doxycycline was instilled in this location.
The second needle puncture was also made using a 21-gauge needle, into the
medial aspect of the hindfoot. When blood flowed back through the needle,
contrast was injected documenting the correct intralesional positioning of the
needle, absence of
extravasation of contrast, no significant communication with normal venous
system. A total of 300 mg of doxycycline was instilled in this location.
The third needle puncture was made into the plantar soft tissues, using a 21-
gauge needle.When blood flowed back through the needle, contrast was injected
documenting the correct intralesional positioning of the needle, absence of
extravasation of
contrast, no significant communication with normal venous system. A total of
100 mg of doxycycline was instilled in this location.
The fourth needle puncture was made into the superficial component along the
anterior surface of the ankle at the junction with the midfoot, using a 21-gauge
needle.When blood flowed back through the needle, contrast was injected
documenting the correct
intralesional positioning of the needle, absence of extravasation of contrast,
no significant communication with normal venous system. A total of 100 mg of
doxycycline was instilled in this location
This is an Interventional Radiologists, and what the doc is saying and the cpt that they are wanted to use is confusing.
36000 X4 36005 X4 77002 X4 HELP PLEASE
Informed consent was obtained from the patient's parent.
With the patient under general anesthesia, the skin over the affected area was
prepped and draped.
Doxycycline was reconstituted in a concentration of 25 mg/mL of contrast.
The palpable lesion [ along the lateral aspect of the left forefoot ] was
punctured using a 21-gauge needle. When blood flowed back through the needle,
contrast was injected documenting the correct intralesional positioning of the
needle, absence of
extravasation of contrast, no significant communication with normal venous
system. A total of [ 200 ] mg of doxycycline was instilled in this location.
The second needle puncture was also made using a 21-gauge needle, into the
medial aspect of the hindfoot. When blood flowed back through the needle,
contrast was injected documenting the correct intralesional positioning of the
needle, absence of
extravasation of contrast, no significant communication with normal venous
system. A total of 300 mg of doxycycline was instilled in this location.
The third needle puncture was made into the plantar soft tissues, using a 21-
gauge needle.When blood flowed back through the needle, contrast was injected
documenting the correct intralesional positioning of the needle, absence of
extravasation of
contrast, no significant communication with normal venous system. A total of
100 mg of doxycycline was instilled in this location.
The fourth needle puncture was made into the superficial component along the
anterior surface of the ankle at the junction with the midfoot, using a 21-gauge
needle.When blood flowed back through the needle, contrast was injected
documenting the correct
intralesional positioning of the needle, absence of extravasation of contrast,
no significant communication with normal venous system. A total of 100 mg of
doxycycline was instilled in this location
This is an Interventional Radiologists, and what the doc is saying and the cpt that they are wanted to use is confusing.
36000 X4 36005 X4 77002 X4 HELP PLEASE