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  1. Default Aspiration
    Medical Coding Books
    Can we code the following procedure with

    History: Patient who is status post resection of gist tumor
    presents with small collection in the resection bed in the pelvis.

    Procedure: After appropriate consent was obtained the patient was
    placed on the angiographic table, prepped and draped. Conscious
    sedation was established and the patient was monitored
    physiologically from the procedure.

    Under ultrasound guidance 18-gauge needle was advanced into the
    cystic lesion superior to the urinary bladder. 3 cc of
    hemorrhagic-appearing fluid were easily aspirated and submitted
    for cytology and microbiology.

    Under ultrasound guidance 18-gauge core needle was then advanced
    into the wall of the cystic lesion. Two core specimens were
    obtained and submitted to pathology.

    Conclusion: Aspiration and core needle biopsy of a cystic lesion
    superior to the urinary bladder in the pelvis.
    Prabha CPC

  2. #2
    Smile biopsy
    we can code only once 51100 and 76942-26, as we cant code aspiraton and core biopsy together .
    thanks and regards
    dr sunil

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