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How many sclero sites would you code? If coming from same vein, it's one site...notes document Venous Malformation of Neck....
HISTORY: Left back, labial and right medial knee venous
malformation for sodium tetradecyl sulphate sclerotherapy.
malformation for sodium tetradecyl sulphate sclerotherapy.
The left back venous malformation was examined with ultrasound
with the patient in the prone position and a suitable access site
for needle placement for biopsy was identified. The left back was
prepared and draped in the usual sterile fashion. A 18g 2cm throw..............NO FURTHER DOCUMENTATION...JUST INCLUDED THIS PARA FOR SITE REFERENCE.
Next Using ultrasound guidance a two 21 gauge needles were
advanced into the malformation and contrast was injected
confirming a type 1 venous malformation. 14mls of 3% STS, was
injected at 2 sites under fluoroscopic guidance.
Next the patient was placed supine and the right labial
superficial venous malformation was examined with ultrasound and
a suitable access site for needle placement was identified. The
labial region was prepared and draped in the usual sterile
fashion. Using ultrasound guidance a 21 gauge needle was
advanced into the malformation 7 units of Bleomycin foam was
injected under US guidance.
Then right medial knee venous malformation was examined with
ultrasound suitable access sites for needle placement was
identified. The right knee was prepared and draped in the usual
sterile fashion. Using ultrasound guidance a two 21 gauge
needles were advanced into the malformation and contrast was
injected confirming a type 2 venous malformation. 4mls of 3% STS,
was injected at 2 sites under fluoroscopic guidance.
All sites were dressed and the child left the IR suite in stable
condition.
FINDINGS: US with Doppler and grey-scale demonstrated a low flow
venous malformation, type 1 left back and right labia and type 2
right medial knee successfully treated with sclerotherapy.
with the patient in the prone position and a suitable access site
for needle placement for biopsy was identified. The left back was
prepared and draped in the usual sterile fashion. A 18g 2cm throw..............NO FURTHER DOCUMENTATION...JUST INCLUDED THIS PARA FOR SITE REFERENCE.
Next Using ultrasound guidance a two 21 gauge needles were
advanced into the malformation and contrast was injected
confirming a type 1 venous malformation. 14mls of 3% STS, was
injected at 2 sites under fluoroscopic guidance.
Next the patient was placed supine and the right labial
superficial venous malformation was examined with ultrasound and
a suitable access site for needle placement was identified. The
labial region was prepared and draped in the usual sterile
fashion. Using ultrasound guidance a 21 gauge needle was
advanced into the malformation 7 units of Bleomycin foam was
injected under US guidance.
Then right medial knee venous malformation was examined with
ultrasound suitable access sites for needle placement was
identified. The right knee was prepared and draped in the usual
sterile fashion. Using ultrasound guidance a two 21 gauge
needles were advanced into the malformation and contrast was
injected confirming a type 2 venous malformation. 4mls of 3% STS,
was injected at 2 sites under fluoroscopic guidance.
All sites were dressed and the child left the IR suite in stable
condition.
FINDINGS: US with Doppler and grey-scale demonstrated a low flow
venous malformation, type 1 left back and right labia and type 2
right medial knee successfully treated with sclerotherapy.