Wiki Ultrasound-guided aspiration of a right renal cyst.

Shirleybala

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Hello All:
How to code renal cyst aspiration 50200,76942 or 50390,76942 please confirm.

The patient was prepped and draped in a sterile manner.
Sonographic examination of the right flank demonstrated a large
cyst in the lower pole of the right kidney. The site was marked
and approximately 3 mL of 1% lidocaine were administered
subcutaneously. An 18-gauge needle was inserted percutaneously
under real-time sonographic guidance into the cyst, and an image
was recorded. Approximately 80 mL of straw-colored fluid was
aspirated. Residual fluid was sonographically visualized within
the cyst. The needle was then repositioned and a small amount of
fluid was aspirated, but the remainder could not be completely
aspirated.
 
Hello,
50390 is the code for aspiration.
50200 is for percutaneous needle biopsy for kidney. This is usually done under fluoroscopic guidance and clearly mentioned as biopsy.
Take care.
LMohan
 
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