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Patient Drain Sclerotherapy

Date: Dec 13, 2023

Question:

We have a patient who is returning multiple times for sclerotherapy of a lymphocele. However, after a few visits they are now sending the patient home with instructions as to wait 1 hour and then drain the doxycycline. "...The catheter was reconnected to a closed suction drainage bag. A sterile dressing was applied. The patient was instructed to reopen the stopcock after allowing the doxycycline to dwell for at least one hour. The patient was discharged."

There are mixed reviews as if it would it be appropriate to bill this out as 49185 or 49185-52 with the reduced services modifier for these cases. Can you please advise?

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