Ask Dr. Z

Is code 38382 appropriate for percutaneous embolization of thoracic duct, or should I use an unlisted code? The procedure is described as follows:

Abdominal percutaneous approach. After reconfirming the intraductal location of the catheter, 6 fibered platinum embolization coils were deployed from the distal chest down to the cisterna chyli in the proximal abdomen. Subsequently, a 2:1 Ethiodol and N-butyl cyanoacrylate glue mixture with tantalum powder was injected through the catheter to complete the embolization of the distal thoracic duct and cisterna chyli. The catheter was removed while aspirating to minimize extravasation. Final spot radiographs of the chest and abdomen were then obtained to document the position of the embolic implants. Findings: Coil embolization of the thoracic from the distal chest down to the cisterna chyli. Distal thoracic duct and cisterna chyli sealed with N-butyl cyanoacry liquid embolic glue.