tci General Surgery Coding Alert - 2016 Issue 9

You Be the Coder: Clarify 49185 Add-Ons

Question: A patient presented for treatment of a painful Peritoneal Inclusion Cyst (PIC), which the surgeon treated using sclerotherapy. The surgeon inserted a transabdominal drainage catheter under ultrasound guidance, withdrew fluid and injected contrast. With contrast visualization, the surgeon identified a second PIC and proceeded to drain both cysts before instill sclerosing agent. Should we bill this as 49185 x 2, and can we separately bill the drainage or any other part of the service, such as ultrasound guidance? Texas Subscriber Answer: No, you should not bill two units of 49185 (Sclerotherapy of a fluid collection [e.g., lymphocele...

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