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Occlusion of the fistula glue

  1. Default Occlusion of the fistula glue
    Medical Coding Books
    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    the catheter was withdrawn through the fistulous channel under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.

  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.

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