I'm from the belief which they made 38900 to make clear 38792. We accustomed to use 38792 with the injection with the blue dye and/or radioactive tracers. It looks like They may be declaring which the injection of blue dye won't seriously insert much more danger to just what the Dr is intending on executing(excision, mapping, biopsy). 38900 "involved..., when carried out" the function and hazard is in the mapping not the injection.
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If you suspect that is a miscalculation then Be sure that Javascript and cookies are enabled in your browser and that you are not blocking them from loading. If not it's possible you'll access out to our help group . Reference ID: 32a7b07b-12a7-11f0-9e78-226b3c5fbfd2
Soon Methylene Blue after he did the cysto and also the retrogrades, he claims he drained and irrigated the bladder numerous periods. Filled the bladder by way of a 16-French Foley catheter with dilute methylene blue. The was completed just after irrigating the vaginal space by using a catheter tip syringe and afterwards packing it with three separate gauze with a single to the remaining, 1 on the correct, and just one during the posterior midline.
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The foley catheter was kinked. One hundred cc of the saline-methylene blue combination was bit by bit injected, back again-filling the bladder. Affected person unable to tolerate any further quantity administration previous 100cc. The foley catheter was then eliminated. The patient was instructed to wander for 20 minutes.
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They set 96372 about the submitting, but I discover it hard to consider they place this individual below for reimbursement just for the admin cost.
The technique might be 51700 with the instillation of your methylene blue during the postop interval to the operation. The medical center check out might be not billable as it might happen to be at the normal rounding stop by, though the technique might be billed but the sole question is which modifier would get it compensated (-58, -78, or -seventy nine)? It's not necessarily planned per se which is diagnostic, not therapeutic in nature (so not quite -fifty eight) but is can be not a return towards the OR or employing a treatment space as it seems this process may are completed at her bedside (so not quite -seventy eight).
Methylene blue is Utilized in surgeries to visually trace the lymphatics and figuring out/producing proper planes for excision; it really is will not relate for the code pointed out over as These are specific to other services.
If you think this is a oversight then Be certain that Javascript and cookies are enabled in your browser and that you are not blocking them from loading. If not you could possibly attain out to our aid crew . Reference ID: 32a9b198-12a7-11f0-9e8a-226b3c5fbfd2
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