Please note this question was answered in 2022. The coding advice may or may not be outdated.
CT guided drain check -No Contrast
Question:
IMPRESSION:
Drainage catheter check demonstrates complete evacuation of the pelvic. The
drainage catheter was removed.
PROCEDURE SUMMARY:
- Drainage catheter check under CT guidance
- Drainage catheter removal
- Additional procedure(s): None
PROCEDURE DETAILS:
Pre-procedure
Consent: Informed consent for the procedure including risks, benefits and
alternatives was obtained and time-out was performed prior to the procedure.
Preparation: The site was prepared and draped using maximal sterile barrier
technique including cutaneous antisepsis.
Drainage catheter check and removal
The patient was positioned supine. Initial imaging was performed . The drainage
catheter was removed, and a sterile bandage was placed.
- Initial imaging findings: Complete resolution of the fluid collection.
Contrast
Contrast agent: None
Contrast volume (mL): 0
When there is no contrast listed i'm assuming we can't use 49424-49423, because these are contrast based codes. For this note I would code only for the CT Guidance, is this correct? 76380 or 77012
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