Ask Dr. Z

Findings:

Cholecystostomy tube evaluation demonstrates contrast filling around large gallstone. No opacification of the cystic duct. Extraluminal contrast through the drain tract exiting the skin.

PROCEDURE SUMMARY:

- Drainage catheter check under fluoroscopic guidance

- Additional procedure(s): None

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 with contrast injection through the indwelling tube.

- Initial imaging findings: Poor opacification of the gallbladder lumen. No opacification of the cystic duct. Extraluminal contrast along the drain tract, exiting the skin.

I am aware the removal was not done, so we can't code for removal but the cath check and contrast injection we can?