Shirleybala
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Hi,
How to code this senario
The patient's right chest was prepped and draped in usual sterile
manner and locally anesthetized with lidocaine. Under real-time
ultrasound guidance a 19-gauge singlewall needle was advanced into
two separate hypoechoic pockets and attempts were made at
aspirating fluid from these pockets. Despite repositioning the
needle several times, fluid could not be aspirated. This is most
likely related to thickness of the fluid comprising the hematoma.
Subsequently, under fluoroscopic guidance the port reservoir was
accessed using a 19-gauge noncoring Huber needle. Blood was then
easily aspirated from the port, which was flushed with Hep-Lock
solution and a sterile dressing applied. The patient tolerated
tolerated the procedure well, left the department in stable
condition. Port is functional and may be used
How to code this senario
The patient's right chest was prepped and draped in usual sterile
manner and locally anesthetized with lidocaine. Under real-time
ultrasound guidance a 19-gauge singlewall needle was advanced into
two separate hypoechoic pockets and attempts were made at
aspirating fluid from these pockets. Despite repositioning the
needle several times, fluid could not be aspirated. This is most
likely related to thickness of the fluid comprising the hematoma.
Subsequently, under fluoroscopic guidance the port reservoir was
accessed using a 19-gauge noncoring Huber needle. Blood was then
easily aspirated from the port, which was flushed with Hep-Lock
solution and a sterile dressing applied. The patient tolerated
tolerated the procedure well, left the department in stable
condition. Port is functional and may be used