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Sclerosis of Lymphocele

Bridget Posted Mon 02nd of December, 2013 17:51:45 PM

Please help with CPT codes for the following:
Intravenous access was established, the skin was cleansed with Betadine and 1% buffered lidocaine was used for superficial and deep anesthesia. CT scan was performed with the patient in supine position and images acquired through the pelvis for localization and comparison to previous examinations. A needle was advanced with CT guidance. Fluid was collected from the lymphocele for microbiologic testing followed by the instillation of 300 mg of doxycycline. The patient was observed on the table following the procedure without untoward effect. The needle was left in place and the patient was transferred to the nursing unit. After approximately 1 hour, an additional 200 mg of doxycycline was injected into the lymphocele cavity. Upon completion, the fluid was aspirated and discarded. Repeat CT images through the lesion demonstrate no evidence for extravasation or hemorrhage. Two-hour recovery phase performed in the nursing unit. Vital signs monitored throughout this phase were stable.

SuperCoder Answered Tue 03rd of December, 2013 08:41:54 AM

We are working on this.

Thanks,

SuperCoder Answered Tue 03rd of December, 2013 10:00:04 AM

SuperCoder Answered Tue 03rd of December, 2013 10:37:00 AM

FAQ 2 at http://www.sirweb.org/misc/927815235484/cguide13.pdf says lymphocele sclerotherapy is coded using 76080 (radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation) and 20500 (injection of sinus tract; therapeutic (separate procedure)).

For the diagnostic aspiration, consider 77012 (CT guidance) and 10022 (FNA).

Bridget Posted Wed 04th of December, 2013 14:25:02 PM

Thank you!!!!!

SuperCoder Answered Thu 05th of December, 2013 20:39:20 PM

You are always welcome!

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