Eleen Posted Wed 09th of November, 2016 09:03:04 AM
The examined esophagus was normal.
Diffuse mildly erythematous mucosa was found in the entire examined stomach.
A previously placed fully covered metal lumen opposing Axiox cystgastrostomy stent was found on the posterior wall of the stomach. The cyst cavity was entered via the stent and explored with the endoscope. The cyst was mostly collapsed with adherent black necrotic tissue and fat that was pasty. Necrosectomy was performed with a combination of, suction,
flushing of > 500 mL sterile water and rattooth grasping forcep, requiring multiple intubations of the cyst. At the conclusion of the procedure very little visible necrosis was still seen. the cyst cavity was injected with a small amount of contrast using a 15mm balloon showing a thin residual cavity and likely necrosisb beyond the collapsed cyst wall seen and extending
caudally.The duodenal bulb and 2nd part of the duodenum were normal. Would CPT Code 48999 be apropriate?
SuperCoder Answered Thu 10th of November, 2016 01:52:39 AM