My codes for the below procedure are
50593
77013-26
76940-2659.Do we need to code the biopsy of kidney seperately or it is included in cryoablation?
The patient was placed prone on the CT table. Serial axial 5 mm
scan was obtained through the abdomen without intravenous
contrast. These images demonstrated a round exophytic mass the
left kidney. After identifying the proper access sites in the left
Flank, 3 Cryoablation probes 2.4 mm in diameter were deployed
through the lesion under US and CT guidance. 18 G Core needle
biopsy of the mass was performed, and samples sent for pathologic
evaluation.
After proper probe positioning was reconfirmed by repeat CT
imaging, freezing and thawing according to the standard protocol
was performed. (10 minute freeze, 8 minute thaw, 10 minute freeze,
and final thaw).
Repeat images during the procedure confirmed proper ice ball
formation showing at least 1 cm margin of lethal ice outside of
the mass boundaries.
The probes were removed. Follow-up CT imaging without contrast
demonstrated no hemorrhage.
The patient tolerated the procedure well and left the department
in stable condition.
IMPRESSION:
1. Successful cryoablation of the exophytic mass in the left
Kidney.
2. Biopsy of the mass with 18 G core needle.
50593
77013-26
76940-2659.Do we need to code the biopsy of kidney seperately or it is included in cryoablation?
The patient was placed prone on the CT table. Serial axial 5 mm
scan was obtained through the abdomen without intravenous
contrast. These images demonstrated a round exophytic mass the
left kidney. After identifying the proper access sites in the left
Flank, 3 Cryoablation probes 2.4 mm in diameter were deployed
through the lesion under US and CT guidance. 18 G Core needle
biopsy of the mass was performed, and samples sent for pathologic
evaluation.
After proper probe positioning was reconfirmed by repeat CT
imaging, freezing and thawing according to the standard protocol
was performed. (10 minute freeze, 8 minute thaw, 10 minute freeze,
and final thaw).
Repeat images during the procedure confirmed proper ice ball
formation showing at least 1 cm margin of lethal ice outside of
the mass boundaries.
The probes were removed. Follow-up CT imaging without contrast
demonstrated no hemorrhage.
The patient tolerated the procedure well and left the department
in stable condition.
IMPRESSION:
1. Successful cryoablation of the exophytic mass in the left
Kidney.
2. Biopsy of the mass with 18 G core needle.
