Q & A with Dr. Z – Percutaneous Aspiration Ovarian Cyst

by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC

Question: Percutaneous Aspiration Ovarian Cyst
Is CPT code 58805 or 10160 most appropriate for the following?

TECHNIQUE: Percutaneous ultrasound-guided aspiration through 5 French Yueh catheter. Sterile; 1% lidocaine for local anesthesia.
Location: Left lower abdominal quadrant and right lower abdominal quadrant.
Needle size: 5 French Yueh.
Fluid amount/Color: 1.4 L total fluid; 300 mL yellow fluid from the right lower abdominal quadrant and 1.1 L yellow fluid from the left lower abdominal quadrant.
Complications: None.
Laboratory: None.
Successful ultrasound guided percutaneous therapeutic aspiration of recurrent symptomatic ovarian cyst.

Code 58805 is for open surgical drainage of an ovarian cyst. Percutaneous drainage and removal of the catheter the same day is 10160. If an indwelling catheter is left in place, we recommend 49405 for drainage of an organ.


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About the Author

David Zielske is founder and President of ZHealth Publishing and primary author and editor of ZHealth publications. Dr. Z practiced as an interventional radiologist and has over twenty years experience as a coding reviewer and coding expert. He is Board Certified in Radiology and has functioned as an independent interventional radiology, vascular surgery, and cardiovascular coding consultant to a variety of physician groups and hospital providers across the country. He also served as an instructor for over 200 coding seminars.

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