biopsy intraluminal vena cava mass

SandhiyaR

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PROCEDURE: CT-guided biopsy inferior vena cava intraluminal mass


COMPARISON: Multiple prior CTs and MR venography

INDICATION: vena cava mass

SEDATION: Moderate IV, 2 mg Versed, 100 mcg Fentanyl, 20 minutes

sedation time, monitored by nursing staff



TECHNIQUE:

With patient in prone position, localizing images of the upper abdomen

were performed and optimal approach path was determined. Sterile prep

and drape was performed followed by administration of local anesthesia

and advancement of 17-gauge guide and coaxial advancement of 18-gauge

core biopsy needle to the posterior wall of the inferior vena cava. 50

cc intravenous contrast was given at this point to better define the

intracaval mass. After optimal position was confirmed 3 18-gauge core

samples were retrieved and submitted to pathology for further

evaluation. Follow-up images showed no significant complicating factor.



IMPRESSION:

1. Uncomplicated CT-guided biopsy intraluminal vena cava mass
 

Vernonkreiss

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Hi Sandhiya.Raju,

There is no perfect CPT code available which match with the documentation. So file the claim with CPT 37799 with supporting documentation.

Thanks,
Vernon Kreiss
 
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