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"CPT code 38792 can be billed for each the injection of radioactive tracer when carried out without having lymphoscintigraphy; and to the injection of essential dye (Isosulfan Blue Dye or an identical product) to visualize the sentinel node, by the surgeon/physician who performs the injection." [I cut and pasted that line from the article over the NGS Web-site]
Following he did the cysto along with the retrogrades, he says he drained and irrigated the bladder various times. Stuffed the bladder by way of a sixteen-French Foley catheter with dilute methylene blue. The was accomplished right after irrigating the vaginal Area having a catheter idea syringe and then packing it with 3 independent gauze with one within the remaining, one particular on the correct, and one from the posterior midline.
"Injected 10ML, the perianal location was injected while in the dermal and subcutaneous planes, They did remaining and right so complete 20ml's), completed various millimeters within the anal verge
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The method will be 51700 Methylene Blue to the instillation in the methylene blue through the postop time period for your surgical treatment. The clinic go to is probably not billable as it may well are actually at the traditional rounding check out, even so the method may be billed but the only dilemma is which modifier would get it compensated (-58, -78, or -seventy nine)? It's not at all planned for every se which is diagnostic, not therapeutic in nature (so not quite -fifty eight) but is is additionally not a return towards the OR or employing a treatment space mainly because it appears this procedure may perhaps are already carried out at her bedside (so not pretty -78).
After which the opposite question I've would be that the affected person was witnessed by two of our OBGYN doctors on a similar day, a single noticed the affected individual for the hospital check out after which you can another certainly one of our OBGYN Medical doctors inside the very same tax ID of our group did the Dye examination treatment, unsure how that could get the job done. ?????
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