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aspiration thrombus

  1. Default aspiration thrombus
    Medical Coding Books
    How to code the below procedure?

    The thigh was then prepped with alcohol solution. Local anesthesia
    was administered to the tissue surrounding the thrombosed
    varicosities. Using multiple 18 gauge needles, aspiration of
    thrombus from the varicosities was performed under real time
    ultrasound guidance. A large amount of thrombus was aspirated from
    the varicosities. The patient was advised to continue wearing her
    compression stocking.

    Thanks in advance!
    Prabha CPC

  2. Default
    Hello,
    Just aspiration by vein puncture can remove some minor thrombus.
    May try - 36410.
    Mostly, vein stripping/Ligation procedures such as 37785 may bundle this aspiration, etc.
    However, for the amount of blood withdrawn for this procedure we should go for a code like percutaneous thrombectomy -36870; but this code also talks about graft. So bewildered. Also no mention of incisions. So, may we go for 36870 -52?
    LM
    Last edited by lavanyamohan; 08-14-2009 at 09:50 AM.

  3. #3
    Location
    Birmingham, Alabama
    Posts
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    Default
    Quote Originally Posted by prabha View Post
    How to code the below procedure?

    The thigh was then prepped with alcohol solution. Local anesthesia
    was administered to the tissue surrounding the thrombosed
    varicosities. Using multiple 18 gauge needles, aspiration of
    thrombus from the varicosities was performed under real time
    ultrasound guidance. A large amount of thrombus was aspirated from
    the varicosities. The patient was advised to continue wearing her
    compression stocking.

    Thanks in advance!
    Since he did not document any access to actual veins (iliac, femoral etc) I think this is not a venous thrombectomy (37187 or 34421) but is instead a treatment for varicose veins (varicosities). I would look at the codes 37765-37766.

    HTH
    Danny L. Peoples
    CIRCC,CPC

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