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Thread: Left Renal Cyst Aspiration:

  1. #1

    Default Left Renal Cyst Aspiration:

    AAPC: Back to School
    Can we provide these CPT codes for Renal Cyst Aspiration.
    The left flank was then prepped and draped in the usual sterile
    fashion. After the administration of local anesthesia and under
    ultrasound guidance, access was obtained into the exophytic left
    renal cyst with an 18-gauge trocar needle. A gentle injection of
    contrast confirmed good positioning of the needle tip within the

    An Amplatz wire was advanced through the needle and coiled within
    the cyst. The needle was removed. Serial dilatation of the track
    was then performed. After which, an 8-French multi-sidehole
    pigtail drainage catheter was advanced over the wire and coiled
    within the cyst. A gentle injection of contrast confirmed good
    positioning of the pigtail drainage catheter within the cyst.

    Approximately 1720 cc of yellow serous fluid was then aspirated.
    Samples were sent for culture and sensitivity, cytology, cell
    count and chemistries.

    A gentle injection of contrast was then performed which confirmed
    complete collapse of the cyst cavity. Repeat ultrasound images of
    the left kidney demonstrated complete collapse of the exophytic
    lower pole cyst.

  2. #2


    how about the 74470/50390 (renal cyst study)

  3. #3


    You can't code the 50392. That's for a nephrostomy that's left in the kidney for longer drainage.

    Diane Huston, CPC,RCC

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