margaret fahy
Guru
Hey, Peeps...
Maybe it's just me...but i'm wondering re using 50392/74475 vs 49405 for the following procedure...it's 49405, right?
PERCUTANEOUS RIGHT RENAL CYST DRAINAGE
CLINICAL HISTORY: 5-day-old male with prenatally diagnosed
multicystic dysplastic kidneys, and concern for ureteropelvic
junction obstruction secondary to compression by large cysts.
WEIGHT: 2.6 kg
PROCEDURE: With the patient prone a limited ultrasound of the
right flank was performed to identify the dominant renal cyst and
choose a site for insertion of the catheter. The skin overlying
the site was marked. The skin of the right flank was prepped and
draped in sterile fashion and local anesthesia using 1% buffered
lidocaine was infused at the venous insertion site. Using
real-time ultrasound guidance a 22 gauge needle was inserted into
the cyst. Once clear yellow fluid was obtained a 0.018" nitrix
wire was inserted into the collection and coiled. The tract was
dilated with a 6 F dilator and a 6 French multi purpose locking
pigtail catheter was advanced and secured within the cyst using
ultrasound guidance. The catheter was sutured to the skin with
3-0 prolene and secured with a stat-lock device. The catheter
was placed to gravity drainage. A sterile occlusive dressing
was applied.
No complications encountered by the patient during the procedure.
Dr.was present for the entire procedure.
FINDINGS: Limited ultrasound with greyscale and Doppler of the
posterior right flank demonstrated a dominant renal cyst which
was successfully drained with a 6 French multi purpose catheter.
Permanent ultrasound images were obtained and stored in the PACS
system.
IMPRESSION
Successful uncomplicated ultrasound guided
percutaneous right renal cyst drainage and placement of a 6 French locking pigtail catheter.
Maybe it's just me...but i'm wondering re using 50392/74475 vs 49405 for the following procedure...it's 49405, right?
PERCUTANEOUS RIGHT RENAL CYST DRAINAGE
CLINICAL HISTORY: 5-day-old male with prenatally diagnosed
multicystic dysplastic kidneys, and concern for ureteropelvic
junction obstruction secondary to compression by large cysts.
WEIGHT: 2.6 kg
PROCEDURE: With the patient prone a limited ultrasound of the
right flank was performed to identify the dominant renal cyst and
choose a site for insertion of the catheter. The skin overlying
the site was marked. The skin of the right flank was prepped and
draped in sterile fashion and local anesthesia using 1% buffered
lidocaine was infused at the venous insertion site. Using
real-time ultrasound guidance a 22 gauge needle was inserted into
the cyst. Once clear yellow fluid was obtained a 0.018" nitrix
wire was inserted into the collection and coiled. The tract was
dilated with a 6 F dilator and a 6 French multi purpose locking
pigtail catheter was advanced and secured within the cyst using
ultrasound guidance. The catheter was sutured to the skin with
3-0 prolene and secured with a stat-lock device. The catheter
was placed to gravity drainage. A sterile occlusive dressing
was applied.
No complications encountered by the patient during the procedure.
Dr.was present for the entire procedure.
FINDINGS: Limited ultrasound with greyscale and Doppler of the
posterior right flank demonstrated a dominant renal cyst which
was successfully drained with a 6 French multi purpose catheter.
Permanent ultrasound images were obtained and stored in the PACS
system.
IMPRESSION
Successful uncomplicated ultrasound guided
percutaneous right renal cyst drainage and placement of a 6 French locking pigtail catheter.
