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Granulomatous mastitis steroid injection w US guide aspiration

Date: Mar 15, 2023

Question:

Professional coding team inquiry for G mastitis steroid injection with aspiration, US guided. Interpretation is 96372, 10160, 76942. Would 19000, 76942, 96372 be more appropriate based on GL?

"After obtaining informed consent through PARQ conference, the area was reidentified at the right breast 3:00 7 cm from the nipple measuring about 2.5 x 0.8 x 0.9 cm. The second site with echogenic central debris at 1:00 8 cm from the nipple measures about 3 x 1.1 x 2.6 cm. A Team Timeout was performed. The breast was cleansed and draped in sterile fashion. 1% lidocaine was utilized for local anesthesia. A 22 gauge needle was advanced to the both areas under direct ultrasound guidance and aspiration performed. A total of 6 mL of viscous fluid was removed and discarded. A total of 160 mg of Methylprednisone mixed with Ropivacaine was administered into the cavities and surrounding tissues. The needle was removed, gentle pressure applied for hemostasis, and a sterile dressing placed. Estimated Blood Loss: <5mL Complications: None."

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