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CT Abscess Drainage Procedure

  1. #1
    Dallas Ga
    Default CT Abscess Drainage Procedure
    Medical Coding Books
    Can anyone help me with the appropiate code(s) for this procedure?

    Thanks in advance!

    CT-guided pelvic abscess drainage procedure

    Risks and benefits of CT-guided abscess drainage procedure were explained to the patient and written consent was obtained. In the CT suite, unenhanced images through the pelvis were performed to localize an approximately 8 x 10 cm pelvis abscess cavity. Using CT guidance, the pelvic abscess cavity was accessed with a 22-gauge needle. Over a wire, the track
    was dilated and a 10-French multi side hole locking pigtail drainage catheter was placed into the air fluid cavity and secured in position. Approximately 80 cc of opaque dark red-brown thick fluid were aspirated from the cavity decompressing it. CT images during and after procedure confirmed
    placement of the drainage catheter in the abscess cavity in the low midpelvis.

    Impression: Successful CT-guided pelvic abscess drainage with placement of a 10-French locking multi side hole pigtail catheter in the deep midpelvic abscess decompressing it, aspirate with removal of 80 cc of purulent material.

  2. Default
    check these codes I think this may be what you need:
    58823 Drainage of pelvic abscess,transvaginal or transrectal approach
    75989 Radiological supervision

  3. #3
    Dallas Ga
    Well I had looked at the 58823, but it doesn't look to me like they used either of these approaches. And I was confused about the fact that they left the drainage catheter in place?


  4. #4
    Default contributor
    Proceduer approach not documented in this report so some confusion in selecting procedure code.

  5. #5
    I would do 75989/49021

  6. #6
    Birmingham, Alabama
    Quote Originally Posted by MLS2 View Post
    I would do 75989/49021

    I concur.
    Danny L. Peoples

  7. #7
    Dallas Ga
    Thanks to everyone for your help!

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