CPT Knowledgebase - Jan 27, 2020

The CPT code set indicates that a percutaneous image-guided perirenal fluid collection drainage by catheter should be reported with code 49405, Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous. A perirenal fluid collection is around or near, but not within the kidney. Therefore, should a visceral drain placement be additionally reported for this service or is code 49406 more appropriate to report? What CPT code should be reported for other peri-organ fluid collection drain placements (eg, perihepatic, perisplenic, peripancreatic, pericolonic, etc)?

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