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Sclerotherapy for lymphangioma

  1. #1
    Default Sclerotherapy for lymphangioma
    Medical Coding Books
    Just wanted a few opinions on how other coders are billing this procedure. (36469, UPC, etc.) Report below-
    ULTRASOUND-GUIDED SCLEROTHERAPY FOR LYMPHANGIOMA OF LEFT FACE:
    INFORMATION:
    14-year-old male patient presents with lymphangioma with venous
    elements of the left temporal region. This was previously treated with
    sclerosis therapy in April 2004. Patient returns with recurrent
    symptoms, not as great as previously seen.
    TECHNIQUE:
    Preliminary ultrasound demonstrates a small residual fluid
    collection. This slightly greater than seen on the recent appointment
    of approximately two weeks ago.
    With intravenous Versed and Fentanyl, with Lidocaine 2% local
    anesthetic, and in aseptic fashion, a needle was advanced into the
    suspected area of fluid accumulation. Initial contrast injection
    demonstrates filling outside of the lymphatic channels. The needle was
    repositioned twice, eventually filling into a lymphatic appearing
    channel. There is no flow into the veins.
    Four ml (200 mg.) of ethanolamine oleate were then injected under
    slow fluoroscopic and ultrasound guidance. The needle was removed. The
    patient was held for observation prior to discharge.
    IMPRESSION:
    ETHANOLAMINE OLEATE SCLEROSIS AND INJECTION OF LYMPHANGIOMA OF THE
    LEFT FACE, AS DESCRIBED ABOVE.
    Anita W, CIRCC, RCC, CPMA, CPC

  2. #2
    Default
    I would go with an unlisted (37799)

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