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transjugular liver biopsy

  1. Default transjugular liver biopsy
    Medical Coding Books
    The right lower neck was prepped and draped in the usual sterile
    fashion. After the administration of local anesthesia and under
    ultrasound guidance, access into the right internal jugular vein
    was obtained with a 21-gauge micropuncture set. A Bentson wire
    was advanced through the transition dilator and into the IVC. The
    transition dilator was exchanged for a 8-French vascular sheath.
    A 5-French multi-purpose catheter was then advanced over the wire
    and a catheter and wire were used to select the middle hepatic
    vein. A gentle injection of contrast was then performed and
    multiple spot images were obtained in multiple obliquities. This
    confirmed good positioning of the catheter within the middle
    hepatic vein.

    The catheter was removed over a stiff guidewire which was advanced
    into the peripheral middle hepatic vein. A 14-F cyst rench Cook
    transjugular liver biopsy sheath was then advanced over the wire
    and coaxially through the 8-French sheath and into the middle
    hepatic vein. The wire was removed and the Cook 19 gauge
    automated spring-loaded transjugular core biopsy needle was then
    advanced coaxially through the sheath, obtained anteriorly and a
    19-gauge core biopsy of the liver was obtained. This was repeated
    several times and a total of four specimens were obtained.

    What should be the codes for the above procedure??
    Prabha CPC

  2. Default

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