Psoas Muscle Abscess Drainage
I don't how to code this drainage. I was thinking 20000 and 77012 but I am not sure:
Clinical History: Abnormal collection within the right psoas muscle
Patient was placed on the CT examination table in prone position. Monitored conscious sedation was administered for 30 minutes. Localization imaging was performed. Right psoas collection was identified. Skin overlying the right flank was prepped and draped in a sterile fashion. Following local anesthesia, the sheath needle was advanced into the right psoas collection under CT guidance. Aspiration recovered frankly pearl and fluid. Specimens were sent for microbiologic analysis. The sheath needle was exchanged out over a guidewire and the entry site dilated for placement of an 8 French locking loop all-purpose drainage catheter. Drainage catheter positioning within the collection was confirmed with repeat CT imaging. The catheter was placed external gravity drainage and secured at the skin with an adhesive device. Sterile dressings were applied. Patient tolerated the procedure well. No complication was encountered.
8 French APDL drain placed for evacuation of a right psoas abscess under CT guidance.