Ask Dr. Z

Dr. Z, Patient has perinephric hematoma. Not sure if we can code this as 10160 or 50392? Thanks Using sonographic guidance a 18-gauge sheathed needle was advanced into the right perinephric fluid collection. Aspiration revealed old blood. Samples were obtained for gram stain and cultures. Subsequently a guidewire was placed through the needle and a 8 French all-purpose drainage catheter catheter was advanced over the wire into the fluid collection under fluoroscopy guidance. Contrast was injected which confirmed satisfactory position of the catheter in the hematoma. Catheter was sutured to the skin.