Wiki liver abscess drainage

[Shirleybala]

Hi,
For liver abscess drainage drainage(percutaneous)can i use 47011, 75989
in 47011 hepatotomy is mentioned but in report hepatotomy is not mentioned

The patient was placed in the supine position and the right upper
quadrant was prepped and draped in usual sterile fashion. Using
ultrasound guidance, an 18 gauge needle was advanced into the
right liver posterior abscess via an anterolateral approach. A
permanent sonographic recording was created for the patient
record.
After a series of exchanges over a stiff guide wire and under
fluoroscopic guidance, a 10 French APD catheter was placed within
the liver abscess and attached to a drainage bag. The catheter was
left to gravity drainage. A sterile dressing was applied. The
patient tolerated the procedure well and left the department in
stable condition.

Fluoroscopy time was approximately 0.9 minutes. No intravascular
contrast was administered.

Impression:
Successful placement of a 10 French all purpose drainage catheter
in a large right liver abscess. Approximately 150 cc's of pus were
aspirated

 

[MLS2]

I've questioned the "hepatotomy" part of this code description too. But every book I have lists 47011/75989 for a "drainage of liver lesion (cyst/abscess percutaneous)" (this description is per the Interventional Radiology Coding Users' Guide for 2008)

Hope this helps.

 

[Shirleybala]

Thankyou

 

[ciphermed]

I agree with the coding of 47011 and 75989 based on the information provided.