Ask Dr. Z

CT-guided percutaneous drainage of a seroma anterior abdominal wall CT-guided sclerotherapy of a cyst "CT used to visualize anterior abdominal wall subcutaneous fluid collection. Using CT guidance an appropriate skin entrance site was obtained and marked and prepped and dressed in normal sterile fashion." Local anesthesia then "....19-gauge needle cyst was accessed. Approx 30 ml of serous straw-colored fluid was obtained. With needle still in place within the cyst, a mixture of doxycycline, marcaine and solu-medrol was injected into the cyst cavity for sclerotherapy." Radiologists want to code 49021 & 75989. No mention of catheters. My thoughts are 77012 and 10160. Maybe 49999 for the sclerotherapy of the cyst. My background is cardiovascular and not non-vascular IR, so I am not very familiar with this aspect. I might also mention that samples of the fluid were sent to the lab for testing. Thank you very much!!