Results 1 to 4 of 4

Gluing of abscess tract

  1. #1
    Default Gluing of abscess tract
    Medical Coding Books
    My IR doc glued an abscess tract that continued to leak externally. He used a Tisseel agent. Not sure what code to use for the actual gluing of the tract.
    Need help please.
    Thank you,

  2. #2
    Please provide OP report.
    Girish Dadhich, CPC

  3. #3
    Here is the OP report
    TECHNIQUE: Patient presents with previously documented small bowel fistula, previously resulting in an abscess, which was drained percutaneously. Despite prolonged catheter drainage fistula persists.

    Explained nature and purpose of proposed embolization procedure to patient and patient's wife, reviewing potential risks and complications, including recurrent abscess formation requiring repeat catheter insertion. Patient and wife understand and have agreed to proceed.

    Patient's indwelling percutaneous drainage catheter injected with contrast material, redemonstrating fistula into small bowel. Guidewire inserted through existing catheter, which was subsequently removed and replaced with a 5 French diagnostic catheter. Through this catheter Gelfoam slurry was injected, coupled with Tisseel fibrin sealant. Catheter placed as close as possible to small bowel defect.

    As a temporary precautionary measure a smaller 8 French percutaneous drainage catheter was left in place.

    Patient tolerated procedure without immediate difficulty. Approximately 9 minutes of intermittent fluoroscopy utilized.

  4. #4
    I am leaning towards 37204, but I think we should add mod 52 (reduced services) since the guidewire is introduced through an already placed catheter, so that should be discounted. Any more thoughts???
    Girish Dadhich, CPC

Similar Threads

  1. Excision of Sinus Tract
    By GSCoder07 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-20-2013, 09:45 AM
  2. Excision of an abscess and sinus tract
    By AMBERRUIZ in forum OB/GYN
    Replies: 0
    Last Post: 01-03-2013, 05:18 PM
  3. Help with Curettage Sinus Tract
    By ksnively in forum General Surgery
    Replies: 0
    Last Post: 06-13-2012, 11:44 AM
  4. sinus tract exploration
    By koatsj in forum General Surgery
    Replies: 4
    Last Post: 05-10-2012, 06:32 AM
  5. Excision of Sinus tract
    By dpumford in forum Cardiovascular Thoracic
    Replies: 1
    Last Post: 02-12-2009, 12:16 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.