AAPC - Back to school
Results 1 to 2 of 2

Thread: Occlusion of the fistula glue

  1. #1

    Default Occlusion of the fistula glue

    AAPC: Back to School
    Can I use 46706 for this occlusion with glue

    History: Persistent fistulous communication between pelvic
    collection and bowel, status post drainage of a pelvic collection

    Procedure: Patient was appropriately consented and placed supine
    on angiographic table. Contrast was injected into the inside the
    drainage catheter. Again, the study demonstrated small amount of
    collection in the pelvis communicating with the bowel. The in situ
    drainage catheter was replaced with a 7-French sheath over a stiff
    wire. Using a combination of a 4-French Bernstein catheter and a
    Glidewire access was gained into the bowel through the fistulous
    communication. Position of the catheter was confirmed by
    injection of contrast. 100 cc of Fibrin glue was then injected as
    the catheter was withdrawn through the fistulous channel under
    fluoroscopic guidance. The sheath was removed

    Conclusion: Occlusion of the fistulous communication between the
    pelvic collection and bowel with fibrin glue. Draining catheter
    was removed.
    Shirley CPC,CPC-H

  2. #2


    I see 76080/49424 for the initial injection through the existing tube. As for the glue, I'm leaning towards an unlisted code. 46706 is for an anal fistula, this sounds more like a pelvic/bowel fistula.

Similar Threads

  1. lymphocele/fibrin glue injection
    By lmn in forum General Surgery
    Replies: 0
    Last Post: 12-03-2015, 06:11 AM
  2. Glue only- other providers 17110.
    By dtricia in forum Dermatology
    Replies: 1
    Last Post: 09-21-2015, 11:36 AM
  3. Fibrin Glue Injection for Chest Wall Fistula
    By AimeeNK31 in forum General Surgery
    Replies: 0
    Last Post: 03-17-2014, 07:52 AM
  4. super glue in eyes
    By alices in forum Ophthalmology/Optometry
    Replies: 5
    Last Post: 07-18-2012, 06:08 PM
  5. Help w/fibrin glue repair of fistula
    By nanmay in forum General Surgery
    Replies: 0
    Last Post: 01-30-2012, 10:32 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.