How will you code for these scenarios:
a. Ovarian cyst aspiration using 19-Guage needle- I guess 10160 or 10022?
b. Ovarian cyst drainage using Catheter-20000 or 49021?
Both percutaneous and abdominal approach.
As per ACR Guidelines,
CPT code 20000 should be reported for drainage of an abscess or fluid collection, when no site specific code exists.
When a site-specific abscess drainage code is not applicable, CPT code 10160 should be reported for needle aspirations of abscess, hematoma, bulla, or cyst.
Code description for 10160 states
The physician performs a puncture aspiration of an abscess, hematoma, bulla, or cyst. The palpable collection of fluid is located subcutaneously. The physician cleanses the overlying skin and introduces a large bore needle on a syringe into the fluid space. The fluid is aspirated into the syringe, decompressing the fluid space. A pressure dressing may be placed over the site. As per Medlearn, the code description for 10160 states fluid aspiration for subcutaneous fluid collections. Is that appropriate to report 10160 for ovarian cyst aspiration?
Code description for 20000 states- Incision of soft tissue abscess (eg.secondary to osteomyelitis); superficial. Is that appropriate to code 20000, when no site-specific code is available.
Any help with the coding is most appreciated.
a. Ovarian cyst aspiration using 19-Guage needle- I guess 10160 or 10022?
b. Ovarian cyst drainage using Catheter-20000 or 49021?
Both percutaneous and abdominal approach.
As per ACR Guidelines,
CPT code 20000 should be reported for drainage of an abscess or fluid collection, when no site specific code exists.
When a site-specific abscess drainage code is not applicable, CPT code 10160 should be reported for needle aspirations of abscess, hematoma, bulla, or cyst.
Code description for 10160 states
The physician performs a puncture aspiration of an abscess, hematoma, bulla, or cyst. The palpable collection of fluid is located subcutaneously. The physician cleanses the overlying skin and introduces a large bore needle on a syringe into the fluid space. The fluid is aspirated into the syringe, decompressing the fluid space. A pressure dressing may be placed over the site. As per Medlearn, the code description for 10160 states fluid aspiration for subcutaneous fluid collections. Is that appropriate to report 10160 for ovarian cyst aspiration?
Code description for 20000 states- Incision of soft tissue abscess (eg.secondary to osteomyelitis); superficial. Is that appropriate to code 20000, when no site-specific code is available.
Any help with the coding is most appreciated.
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