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US insert Pleural Catheter w/cuff and paracentesis

Date: Aug 6, 2021


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.

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