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popliteal cyst aspiration

  1. #1
    Location
    Chennai,Tamilnadu
    Posts
    95
    Smile popliteal cyst aspiration
    Medical Coding Books
    hi all,
    I need a clarification if this can be coded as 20610 or 10160 Indication:right popliteal cyst
    PROCEDURE: Informed consent was obtained. The patient's posterior right
    knee was prepped and draped in usual sterile fashion. Local anesthesia
    was obtained with 1%-Lidocaine. Under ultrasound guidance, a 16-gauge
    needle was used to aspirate 35mL of straw-colored fluid. There was
    complete collapse of the cavity. Hemostasis was achieved without
    difficulty. The patient tolerated this procedure well without evidence of
    immediate complication.

    CONCLUSION: Ultrasound-guided aspiration of a right popliteal cyst.
    Last edited by Rajebpt; 02-23-2011 at 10:36 PM.

  2. #2
    Location
    Birmingham, Alabama
    Posts
    889
    Default
    Quote Originally Posted by Rajebpt View Post
    hi all,
    I need a clarification if this can be coded as 20610 or 10160.
    Indication:right popliteal cyst
    PROCEDURE: Informed consent was obtained. The patient's posterior right
    knee was prepped and draped in usual sterile fashion. Local anesthesia
    was obtained with 1%-Lidocaine. Under ultrasound guidance, a 16-gauge
    needle was used to aspirate 35mL of straw-colored fluid. There was
    complete collapse of the cavity. Hemostasis was achieved without
    difficulty. The patient tolerated this procedure well without evidence of
    immediate complication.

    CONCLUSION: Ultrasound-guided aspiration of a right popliteal cyst.
    20610 is not accurate (not a joint), I would code 10160/76942

    HTH
    Danny L. Peoples
    CIRCC,CPC

  3. #3
    Location
    Chennai,Tamilnadu
    Posts
    95
    Smile
    Im little bit confused because popliteal cyst defines as a collection of synovial fluid(joint fluid) behind the knee. can u please tell me if it still goes with 10160 or 20610.
    thanks in advance
    Last edited by Rajebpt; 02-23-2011 at 10:40 PM.

  4. Default
    Hi,
    I would also code 10160 for popliteal cyst aspiration ...

    Regards,
    Nalini CPC

  5. #5
    Location
    Birmingham, Alabama
    Posts
    889
    Default
    Quote Originally Posted by Rajebpt View Post
    Im little bit confused because popliteal cyst defines as a collection of synovial fluid(joint fluid) behind the knee. can u please tell me if it still goes with 10160 or 20610.
    thanks in advance
    That is correct, but the type of fluid drained makes no difference in the code selection. The code selection is determined by location. 20610 is for drainage of fluid (any type) from a major joint, 10160 is for drainage of a more superficial or subcutaneous collection of fluid (any type).

    There are other (fluid) drainage codes pertaining to internal organs/locations but 10160 is applicable in this instance.

    HTH
    Danny L. Peoples
    CIRCC,CPC

  6. #6
    Location
    Chennai,Tamilnadu
    Posts
    95
    Smile
    Thanks to both of u

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