tci ED Coding & Reimbursement Alert - 2000 Issue 11

Reader Question: Extravasation of Contrast Material

Question: We have doctors who use extravasation of contrast material as a diagnosis. I interpret this to mean that the patient entered the emergency department (ED) because of a complication of the above procedure. Is this correct? If so, what should the doctors document as the proper diagnosis?Diane ValenzuelaSunwest Billing Service, El Paso, TexasAnswer: According to Tabers Encyclopedic Medical Dictionary, extravasation is the escape of fluids into the surrounding tissues. Your question suggests that a patient is coming to the ED after a radiologic procedure that used contrast material, and that the contrast material is leaking into another...

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