AMA CPT® Assistant - 1998 Issue 3 (March)
Reporting Abscess Drainage (March 1998)
March 1998 pages 8-9 Coding Communication Reporting Abscess Drainage In CPT 1998, several new codes were added to accurately reflect the treatment and management involved in performing percutaneous abscess drainage. In addition, two new codes were also added to: describe the injection of contrast material into a previously accessed abscess or cyst drainage catheter in order to confirm catheter position or communication with adjacent structures; and describe the exchange of a previously placed abscess or cyst drainage catheter under radiologic guidance. Here is a list of the new and revised codes for percutaneous abscess drainage. 32201Pneumonostomy; with percutaneous drainage...
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Article Overview
This CPT coding communication reviews a set of 1998 changes tied to abscess drainage procedures and related imaging services. It is aimed at coders, billing staff, and clinicians who need to recognize which procedure categories were updated and how the related imaging and catheter services are organized. The article includes code listings, revised descriptors, and clinical examples that illustrate the scope of the changes without serving as a complete replacement for the full guidance.
Why This Topic Matters
Abscess drainage coding often depends on matching the procedure, the imaging support, and the catheter-related service accurately. This article helps readers understand the structure of the CPT revisions discussed in 1998 so they can evaluate whether the premium content is relevant to their coding or documentation needs.
Article Sections
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Coding Communication
Introduces the 1998 CPT updates discussed in the article and frames the topic as a coding communication on abscess drainage services.
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Reporting Abscess Drainage
Summarizes the broader set of CPT changes related to percutaneous abscess drainage and associated catheter and imaging services.
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Exchange of Previously Placed Catheters
Covers the section on catheter exchange services, including the context in which these services are discussed and a clinical example.
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CPT Code 49423
Presents the discussion focused on the code for exchange of a previously placed drainage catheter under radiologic guidance, along with an illustrative example.
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CPT Code 49424
Covers the discussion of contrast injection through a previously placed catheter and includes a clinical example of assessment of an abscess or cyst.
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Important Note About 49423 and 49424
Provides a cautionary section about the relationship of these services to prior drainage procedures and when they are discussed in the article.
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CPT Codes 75989 and 76080
Explains revisions to imaging supervision and interpretation services related to percutaneous abscess drainage and includes a detailed clinical example.
What You Will Learn
- Which 1998 CPT abscess drainage services were newly added or revised
- How the article groups catheter exchange and contrast injection services
- What types of radiological supervision and interpretation topics are covered
- Which clinical situations are used to illustrate the updated coding topics
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Physician documentation staff
- Interventional radiology practices
- Surgical practices
Codes Discussed
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