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Thread: Drainage of pelvic abscess

  1. #1
    Join Date
    Apr 2007
    Location
    Iowa City Iowa
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    27

    Question Drainage of pelvic abscess

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    We have a physician who took a patient to the OR for a large pelvic mass (left of the rectal and anal canal with extensive suprasphincteric component and presacral component). There was an opening below the sacrum that was draining. He did a digital rectal exam and with digital pressure he was able to drain purulent material so he went in through the opening and placed a Malecot catheter for drainage. Since there was not an incision done how would this be coded? The closest thing we could come up with was 58823 but it is a male and that is a female code. Any suggestions would be greatly appreciated.

  2. #2
    Join Date
    Apr 2007
    Location
    Nashville
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    Default

    Please post the op note. 46040 may be one to consider.

  3. #3
    Join Date
    Apr 2007
    Location
    Savannah, GA
    Posts
    44

    Default

    Quote Originally Posted by twilson@fmchosp.com View Post
    We have a physician who took a patient to the OR for a large pelvic mass (left of the rectal and anal canal with extensive suprasphincteric component and presacral component). There was an opening below the sacrum that was draining. He did a digital rectal exam and with digital pressure he was able to drain purulent material so he went in through the opening and placed a Malecot catheter for drainage. Since there was not an incision done how would this be coded? The closest thing we could come up with was 58823 but it is a male and that is a female code. Any suggestions would be greatly appreciated.
    is 45020 a possibility?

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