Dr. Z

What is the primary consideration when determining correct CPT codes for a pelvic abscess procedure?

Determine whether the procedure performed was an aspiration or a drainage.

What does the code 49406 represent?

It is used for percutaneous image-guided drainage of pelvic abscesses.

When should CPT codes for imaging guidance be included?

Imaging guidance does not need to be separately coded when it is included in the procedure code for placement of an indwelling catheter.

What is the difference between an indwelling catheter and an aspiration procedure?

An indwelling catheter is left in place post-procedure, while an aspiration is performed with a device that is removed at the end of the procedure.

Which CPT code is assigned for simple percutaneous aspiration?

Code 10160 is used for percutaneous aspiration when the device is removed at the end of the procedure.

What should you check in the documentation for coding purposes?

Verify the necessity of the procedure and adherence to coding guidelines.

Can both aspiration and drainage codes be billed for the same encounter?

No, you should never code for both procedures when they are performed at the same patient encounter for the same anatomic area.

What are the four codes for the placement of an indwelling catheter?

The codes are 10030, 49405, 49406, and 49407, each describing different anatomic locations.