... wall subcutaneous fluid collection. Using CT guidance an appropriate skin entrance site was obtained and marked and prepped and dressed in normal sterile fashion." Local anesthesia then "....19-gauge needle cyst was accessed. Approx 30 ml of serous straw-colored fluid was obtained. With needle still in place within the cyst, a mixture of doxycycline, marcaine and solu-medrol was injected into the cyst cavity for sclerotherapy." Radiologists want to code 49021 & 75989. No mention of catheters. My thoughts are 77012 and 10160. Maybe 49999 for the sclerotherapy of the cyst. My background is cardiovascular and not non-vascular IR, so I am not very familiar with this aspect. I might also mention that samples of the fluid were sent to the lab for testing. Thank you very much!!
Duke investigators are conducting the first prospective randomized clinical trial assessing the efficacy of CT fluoroscopy-guided targeted blood and fibrin glue patching of confirmed CSF leaks in patients with spontaneous intracranial hypotension. An outcome of equivalent or inferior efficacy would result in a paradigm shift for SIH treatment (. targeted patching would no longer be considered optimal therapy). Demonstrated superior efficacy would validate this procedure leading to a substantial increase in the performance of targeted patching and would provide the basis for future research comparing its efficacy with other epidural blood patch techniques. Patients interested in enrolling may contact our team for further information.