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Gastrostomy site aggravation to promote healing
Question:
I coded this with unlisted code 49999. I am having trouble finding a similar comparable procedure or code. Can you please help? "TECHNIQUE/FINDINGS: Imaging guidance for device/catheter insertion: Fluoroscopy with permanent image storage. Access device: 5 French dilator. Insertion technique: Around the previous existing catheter site for gastrostomy tube the abdomen was prepped and draped in usual sterile fashion. 1% lidocaine was used to anesthetize the soft tissue around the original gastrostomy site. A 10 French dilator was inserted through the tract and used to confirm placement within the stomach. A short Amplatz wire was then placed into the stomach. Next, the inner portion of the gastrostomy site tunnel was scored and aggravated with the 10 French dilator now scored. Pressure was held at the site to achieve hemostasis."
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