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catheter check

  1. Question catheter check
    Medical Coding Books
    How to code this senario

    The patient's right chest was prepped and draped in usual sterile
    manner and locally anesthetized with lidocaine. Under real-time
    ultrasound guidance a 19-gauge singlewall needle was advanced into
    two separate hypoechoic pockets and attempts were made at
    aspirating fluid from these pockets. Despite repositioning the
    needle several times, fluid could not be aspirated. This is most
    likely related to thickness of the fluid comprising the hematoma.
    Subsequently, under fluoroscopic guidance the port reservoir was
    accessed using a 19-gauge noncoring Huber needle. Blood was then
    easily aspirated from the port, which was flushed with Hep-Lock
    solution and a sterile dressing applied. The patient tolerated
    tolerated the procedure well, left the department in stable
    condition. Port is functional and may be used

  2. #2
    what was the phys. trying to aspirate? something within the port? around the port? the last half sounds like 36598 but i'm not quite sure what he's doing in the beginning.

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