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Thread: Thrombin/gelfoam slurry injection

  1. #1

    Default Thrombin/gelfoam slurry injection

    How to code the below procedure?Can we code it as an E/M code


    Procedure: Thrombin/Gelfoam slurry injection through subcutaneous
    tunnel of indwelling right chest wall tunnel dialysis catheter.

    The patient is status post
    tunnel dialysis catheter exchange. The patient
    returns with persistent and intermittent oozing from the
    subcutaneous tunnel. Referred for catheter evaluation for
    persistent oozing.

    On physical examination, no active bleeding through the
    subcutaneous tunnel is visualized, however, there is a small
    amount of subcutaneous hematoma with expression of blood clot.

    The right chest subcutaneous tunnel site was then prepped and
    draped in usual sterile fashion. The skin and subcutaneous
    tissues were anesthetized with 2% lidocaine solution. Injection
    of a slurry composed of 5000 units of thrombin, normal saline
    solution, and Gelfoam pledgets into the subcutaneous tunnel was
    then performed. Injection was performed while simultaneously
    compressing the right internal jugular vein. The skin entry site
    was covered with a sterile dressing. The patient tolerated the
    procedure well and left the department in stable condition.

    Impression: Thrombin/Gelfoam slurry injection into subcutaneous
    tunnel of indwelling right chest wall tunneled dialysis catheter,
    as above.
    Prabha CPC

  2. #2

    Default

    I was thinking an unlisted code for this...

  3. #3

    Default Thrombin

    Can anyone help me please...
    How do we bill for Thrombin in office settings? One of our physicians did a surgery on a patient, patient had post-op bleading and came back to the office. Doctor took thrombin from ambulatory surgery and they will bill us for it. I need to know how do we bill that? Can we bill at all in post op period?

    Thanks

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