The 2-Minute Rule for Methylene Blue
The 2-Minute Rule for Methylene Blue
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I'm on the view which they developed 38900 to explain 38792. We used to use 38792 for that injection from the blue dye and/or radioactive tracers. It looks like They're expressing which the injection of blue dye isn't going to seriously add Substantially additional threat to just what the Dr is intending on doing(excision, mapping, biopsy). 38900 "bundled..., when performed" the operate and risk is inside the mapping not the injection.
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Just after he did the cysto as well as the retrogrades, he suggests he drained and irrigated the bladder several moments. Filled the bladder by way of a 16-French Foley catheter with dilute methylene blue. The was carried out immediately after irrigating the vaginal space by using a catheter idea syringe after which you can packing it with 3 individual gauze with 1 around the remaining, one on the right, and one particular while in the posterior midline.
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We distended the bladder with about five hundred mL of this methylene blue combination. We waited about ten minutes after which taken off the gauze. There was no indication of any orange outstanding. There was a small volume of blue staining to the midline gauze consistent with vesicovaginal fistula.
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The method will be 51700 to the instillation on the methylene blue in the course of the postop interval for your surgical treatment. The clinic pay a visit to is probably not billable as it may happen to be at the normal rounding stop by, though the course of action is often billed but the one issue is which modifier would get it paid (-fifty eight, -seventy eight, or -79)? It is not prepared for each se Methylene Blue and it is diagnostic, not therapeutic in nature (so not rather -58) but is can also be not a return to the OR or employing a treatment space as it seems this method may are already completed at her bedside (so not fairly -seventy eight).
Methylene blue is Utilized in surgical procedures to visually trace the lymphatics and pinpointing/developing acceptable planes for excision; it really is does not relate on the code outlined earlier mentioned as People are certain to other companies.
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