AHA Coding Clinic® for HCPCS - 2023 Issue 1; Ask the Editor

Lesion fulguration with ICG dye administration

After a patient had an initial pelvic examination under anesthesia, attention was turned to laparoscopic access and a supraumbilical incision was made. Trocars were introduced and examination revealed no trauma. The patient was placed in the Trendelenburg position; the robot was docked and the physician proceeded with a thorough pelvic inspection. The adhesions identified were taken down with sharp dissection. After indocyanine green (ICG) administration was carried out with filter light, two possible implants were noted, one on the left, anterior to the uterosacral ligament and one on the right ovary. These implants were completely fulgurated. Trocars were removed and fascia and skin were closed. Patient tolerated the procedure.Can the administration of the ICG be reported? What would be the correct CPT code? ...

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