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CT Guided Localization of Foreign Body with Tatoo Ink
Question:
Patient placed in a supine position. Skin left lateral abdominal wall cleaned and draped in usual sterile fashion. 1% lidocaine used as a local anesthesia. Patient monitored by radiology nurse using automated blood pressure cuff, EKG, and pulse oximetry. No sedation related complications.
Using CT for guidance. the tip of a 20-gauge Quincke spinal needle was placed immediately adjacent to the foreign body in the left side of the peritoneal cavity. Next, a mixture of 2 cc of endoscopic tatoo ink and a half a cc of Ominipaque 240 was injected through the needle. Patient tolerated the procedure well with no immediate complications. Patient was sent to recovery in stable condition. Radiologist performed this procedure.
How would this be coded? Would it be coded as 49411 or 10035?
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