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.
Answer:
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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