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Intrathecal Pump Implant Evacuation of fluid mass

574coding

Guru
Messages
137
Location
Los Osos, California
Hi,
patient presents with 1-2 months of swelling in lower back. Pt has a pump and catheter that was implanted 08/2016. The provider was concerned it is a chronic CSF leak due to catheter. Will attempt to evacuate the mass and send for culture and analysis.

Provider used a 18 gauge 1.5 needle and advanced through the skin under fluoroscopy. Catheter was not disturbed. Continuous suction on the attached syringe did not remove any fluid. after 2 attempts, the needle was removed.

Would you bill this as 10022-52 FNA with imaging guidance reduced services?

Thank you!
 
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