AHA Coding Clinic® for ICD-9 - 2011 Issue 3; Ask the Editor

Endoscopic Ultrasound (EUS) Drainage of Pancreatic Pseudocyst via Gastrostomy

A patient with history of pancreatitis was seen for endoscopic ultrasound (EUS) guided drainage of a pseudocyst of the pancreas through his gastrostomy. The pancreatic parenchyma revealed a lobulation, stranding, foci, and an irregular pancreatic duct consistent with chronic pancreatitis. A fluid collection was seen on the tail of the pancreas. After accessing with a needle and dilating the tract, a pigtail catheter was deployed with drainage of 200 cc of clear fluid. What is the appropriate code assignment for this procedure? ...

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