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fistula catheter placement

  1. #1
    Default fistula catheter placement
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    How do I code for a fistula catheter placement?

    Dr. used a rigid sigmoidoscope to attempt to advance a 6-French pediatric catheter through the sigmoidoscope. It didn't advance. She then advanced a 5-French feeding tube through the sigmoidoscope, the sigmoidoscope was removed and the cather was taped to the thigh.

    Thank you for any help.

    Ruth Ann

  2. #2
    Location
    Johnson City
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    Default
    I wonder if you could consider that as a seton placement.

    The definition in 2010 General Surgery Coding Companion book for Seton states, "Seton- Finely spun thread or other fine material for leading the passage of wider instruments through a fistula, canal, or sinus tract."

    The description you gave sounds like the same idea as a seton (46020), but your doctor used a different type of material. (catheter)
    Melissa Jewett, CPC

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