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Thread: Ct-guided cholecystotomy tube placement

  1. #1
    Join Date
    Apr 2007
    Dallas, GA

    Default Ct-guided cholecystotomy tube placement

    AAPC: Back to School
    Does anyone have any opinions on how I should code this?

    I am thinking about 75980, 47510?


    CLINICAL HISTORY: Cholecystitis, abdominal pain.

    TECHNIQUE: The risks, benefits and procedure itself were explained to
    the patient, and informed written consent was obtained. The patient was
    placed on table in the supine position. Drape was placed.

    CT scan was performed to identify the safest place for entrance. This
    area was marked, and this area cleaned and draped in sterile fashion. 1%
    lidocaine was used to anesthetize the overlying soft tissues. Under CT
    guidance, an 18-gauge Chiba needle was inserted through the liver into
    the gallbladder. An Amplatz wire was then curled within the gallbladder,
    tract serially dilated with 5- and 8-French dilators and an 8-French
    pigtail drainage catheter placed in the gallbladder. A total of
    approximately 60 mL malodorous bile was removed. Catheter secured to the
    skin with 2-0 silk and catheter attached to suction bag. The patient
    tolerated the procedure well without postprocedure complication. Sample
    sent to laboratory for evaluation.

    FINDINGS: Initial CT scan demonstrates thick-walled gallbladder with
    some pericholecystic fluid as well as perihepatic free fluid. Subsequent
    imaging demonstrates adequate positioning of the needle and wire within
    the gallbladder. Pigtail catheter was placed, and final image
    demonstrates decompression of the gallbladder.


    Successful CT-guided cholecystostomy tube placement as described above.
    Last edited by chembree; 08-04-2010 at 11:11 AM. Reason: to add info

  2. #2
    Join Date
    Apr 2007


    Its 47490 and 75989

    Abdul Saleem CPC

  3. #3
    Join Date
    Apr 2007
    Dallas, GA



    Christy, CPC

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