I'm on the view they designed 38900 to make clear 38792. We utilized to use 38792 for the injection with the blue dye and/or radioactive tracers. It seems like they are indicating that the injection of blue dye does not seriously include Significantly supplemental hazard to just what the Dr is intending on undertaking(excision, mapping, biopsy). 38900 "bundled..., when carried out" the do the job and hazard is during the mapping not the injection.
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The foley catheter was kinked. A person hundred cc with the saline-methylene blue combination was slowly and gradually injected, back again-filling the bladder. Affected person unable to tolerate any further quantity administration previous 100cc. The foley catheter was then taken out. The affected person was instructed to walk for twenty minutes.
We distended the bladder with about five hundred mL of the methylene blue mixture. We waited about 10 minutes then taken off the gauze. There was no indication of any orange excellent. There was a small volume of blue staining to the midline gauze consistent with vesicovaginal fistula.
They place 96372 within the submitting, but I discover it hard to believe they set this client beneath for reimbursement only for the admin fee.
The treatment can be 51700 for that instillation with the methylene blue over the postop period of time to the medical procedures. The medical center pay a visit to might be not billable as it may have been at the traditional rounding stop by, though the technique might be billed but the sole query is which modifier would get it paid (-fifty eight, -78, or -79)? It is not prepared for each se and it is diagnostic, not therapeutic in mother nature (so not rather -58) but is is also not a return into the OR or utilizing a process room since it appears this course of action may well have already been done at her bedside (so not pretty -78).
Methylene blue is Employed in surgical procedures to visually trace the lymphatics and pinpointing/building correct planes for excision; it is does not relate to the code mentioned above as those are unique to other products and services.
If you think this is a oversight then Be certain that Javascript and cookies are enabled with your browser and that you're not Methylene Blue blocking them from loading. Otherwise chances are you'll get to out to our assistance workforce . Reference ID: 32a9b198-12a7-11f0-9e8a-226b3c5fbfd2
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