Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,000 coding questions and answers dating back to 2010.

Ask Dr. Z Disclaimer

US insert Pleural Catheter w/cuff and paracentesis

Date: Aug 6, 2021

Question:

Our doctor inserted a tunneled Pleurx catheter for malignant ascites (49418). After the catheter placement he connected to the drainage tube, and 1 liter of ascites was removed (49083). I was told before not to code the paracentesis 49083 at the same time as 49418 when the tunneled catheter is what he is using to describe 49083. He says because 49418 description is just for placing "insertion" of the intraperitoneal catheter, that we can bill the paracentesis during the same session. What is your expert advice on this? There is no CCI between the two codes.

Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!