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CT guided nephrostomy placement

Date: Aug 11, 2011

Question:

Dr. Z This is a CT-Guided Nephrostomy Placement question. CT is used to direct entry into the left collecting system. Left back is sterily prepped and draped. There is placement of a 17-French introducer guide and the needle is removed. Bloody urine is obtained. 0.038 Benson wire is placed through the introducer guide and the needle is removed. Over the wire a 6-French dilator is placed. That is removed. Finally there is placement of an 8-French pigtail type catheter which is coiled in the left renal pelvis and its pigtail locked. Codes 50392 and 74475 were used but the question is can we also code the 77012 for the CT-guidance? Your interventional book mentions that fluoro and ultrasound are both included but is the CT?

Question ID : 3105
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