Left Renal Cyst Aspiration:

Shirleybala

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Hello:
Can we provide these CPT codes for Renal Cyst Aspiration.
CPT
50390-59
50392
74425
74475
The left flank was then prepped and draped in the usual sterile
fashion. After the administration of local anesthesia and under
ultrasound guidance, access was obtained into the exophytic left
renal cyst with an 18-gauge trocar needle. A gentle injection of
contrast confirmed good positioning of the needle tip within the
cyst.

An Amplatz wire was advanced through the needle and coiled within
the cyst. The needle was removed. Serial dilatation of the track
was then performed. After which, an 8-French multi-sidehole
pigtail drainage catheter was advanced over the wire and coiled
within the cyst. A gentle injection of contrast confirmed good
positioning of the pigtail drainage catheter within the cyst.

Approximately 1720 cc of yellow serous fluid was then aspirated.
Samples were sent for culture and sensitivity, cytology, cell
count and chemistries.

A gentle injection of contrast was then performed which confirmed
complete collapse of the cyst cavity. Repeat ultrasound images of
the left kidney demonstrated complete collapse of the exophytic
lower pole cyst.
 

dhuston

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You can't code the 50392. That's for a nephrostomy that's left in the kidney for longer drainage.

Diane Huston, CPC,RCC
 
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