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Thread: CT Guided drainage... cpt codes.. help!

  1. #1
    Join Date
    Apr 2007

    Default CT Guided drainage... cpt codes.. help!

    AAPC: Back to School
    PROCEDURE: CT guided right upper quadrant drainage.

    MEDIATIONS: 1% Lidocaine for local anesthesia. Intravenous Versed and
    fentanyl for monitored moderate sedation.


    Informed consent was obtained from the patient.

    Sequential axial CT images through the abdomen and pelvis were acquired
    and the focal fluid collection within the gallbladder fossa was localized
    and a diagnostic transhepatic aspiration and drainage approach was
    determined. A timeout was performed. The patient was prepped and draped
    in the usual sterile fashion. The skin and subcutaneous tissues were
    anesthetized with 1 % lidocaine. Under CT guidance a 22-gauge needle
    was advanced into the fluid collection. A 0.018 wire was advanced. Over
    the wire a 6 French Neff set catheter was placed. Through the catheter a
    .035" wire was advanced. Following tract dilatation a 8.5 French pigtail
    drainage catheter was deployed into the fluid collection. Dark bile
    appearing fluid was aspirated. The catheter was sutured in place and
    connected to a drainage system. Approximately 15 mL of fluid was
    aspirated. The collection was aspirated and a sample of fluid was
    submitted to the laboratory for bacteriological studies. There were no
    complications during the procedure. The patient tolerated the procedure
    well and left the radiology department in good condition.


    1. Successful CT-guided drainage and catheter placement in the
    gallbladder fossa.

  2. #2
    Join Date
    Apr 2007


    47490-if its gallbladder drainage(drainage catheter is placed in gallbladder)
    49021-if cholecystostomyis already performed and postoperative collection is drained

  3. #3
    Join Date
    Apr 2007


    Thanks so much for your response

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