It also explains what you need to do before and after it is done. If your skin is sensitive to the Tegaderm dressing, you will follow the same steps but the gauze can be taped in place. This causes, what is called cholecystitis. You may have some abdominal pain. %PDF-1.7 . 711210005 - CT guided cholecystostomy - SNOMED CT codes diagnosis ICD-10-CM DRGs HCCs ICD-11 NEW SNOMED CT NEW ICD-9-CM procedures CPT HCPCS CDT(dental) ICD-10-PCS LOINC NEW SNOMED CT NEW APC ASC ABC (alt med) ICD-9 v3 supplies HCPCS DMEPOS Search procedure was done, there was a fistula into the colon, so he repaired the colon. 7. The bile secretion and volume is checked with this dye and on the other hand, gall bladder is removed with CPT Code For Nephrostomy Tube Placement Nephrostomy tube placement is also known as percutaneous nephrostomy. Plan to stay in the hospital for at least 24 hours. Procedure 71388002. It also allows assessment of any residual calculi in the biliary tree. 2 0 obj Valji K. Vascular and interventional radiology. <>/Metadata 1377 0 R/ViewerPreferences 1378 0 R>> % Conflicts of interest The authors have no conflicts of interest to declare. endobj Ha JP, Tsui KK, Tang CN et-al. The CPT code is 47564. If you take a blood thinner daily, please let us know. You are using an out of date browser. Coagulation profile: some studies showed that having a normal INR or prothrombin time is no reassurance that the patient will not bleed after the procedure 7. international normalized ratio (INR) 1.5 8, normal prothrombin time (PT), partial thromboplastin time (PTT), the procedure is performed with the patient in a supine position, regular monitoring of the vital signs by a suitably trained staff member is recommended during the procedure, clean skin with antiseptic solution and drape to maintain sterility for the procedure. SNOMED CT Concept 138875005. 1. Aspiration of bile/pus from the drain confirms satisfactory position. You may have a cholecystostomy tube placed. You can easily access coupons about "Cpt Code Cholecystostomy Tube Placement" by clicking on the most relevant deal below. Conclusion: This procedure is performed under anesthesia. Because each persons health needs are different, you should talk with your doctor or others on your health care team when using this information. CPT Code For Laparoscopic Cholecystectomy With Firefly Firefly is used to inject a dye named ICG (Indocyanine green) before laparoscopic cholecystectomy for the evaluation of bile flow. This can be performed in combination with laparoscopic cholecystectomy (gall bladder removal). You will go back to your room. Fever greater than 100.4 degrees F (take your temperature if you are not feeling well), Pain at the tube site or in your side where the tube has been placed that does not go away with pain medicine, If you are leaking around the site that requires more than 1-2 dressing changes a day, If you cant flush your drain or if the tube becomes clogged. For a better experience, please enable JavaScript in your browser before proceeding. The CPT code is 47564. In this case, the dressing needs to be changed daily. The CPT code is 43653 and 44186. The surgeon is also coding the +44015, Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (list separately in addition to primary procedure), and placed the -79 The CPT code is 47564. Complete blood count: platelet >50,000/mm3 (Some institutions determine other values between 50,000-100,000/mm3) 6,8. * All indicated fields must be completed. 6. #am-social-unique-id-8772 .am-social-svg:hover .svg-icon {fill: #588CBA}, For Human Resources inquiries or Employment Verifications, please emailcareers@teamviv.com, 2023 Vascular Institute of Virginia. You recommend code 47536 for cholecystostomy tube change in the IR reference instead of 47490-52. This procedure is known as a percutaneous transhepatic cholangiogram (PTC). The liver makes bile that helps your body break down the fat in food. Your health care team may have given you this information as part of your care. I believe the report supports lap choly with Modifier 53 only. Bed rest (typically 2-4 hours) with regular monitoring of vital signs and provision of adequate analgesia are routinely indicated in the first few hours following the procedure. Cholecystectomy or not after percutaneous cholecystostomy for acute calculous cholecystitis in high-risk patients. 3 0 obj Code History Z97.8 is a billable ICD-10 code used to specify a medical diagnosis of presence of other specified devices. This occurs if surgery to remove your gallbladder is unsafe. 1 0 obj endobj PeekaPoo - Size, Character, Breeders, Mix, Color, Sale, Price, Southdown Sheep Disadvantages, Advantages, Characteristics, Price, Simangus Cattle Disadvantages, Advantages, Facts, Price, Murray Grey Cattle Pros and Cons, Facts, Price, Black Baldy Cattle Advantages, Disadvantages, Characteristics, Uses, Balancer Cattle Pros & Cons, Characteristics, Origin, Weight, Hampshire Sheep Pros and Cons, Temperament, Price. Walker TG. You will use soap and water to clean the site. We may need updated labs the day you are having your procedure. The catheter can be removed once the tract is mature (usually 3-4 weeks). Palliative percutaneous transhepatic gallbladder drainage of gallbladder empyema before laparoscopic cholecystectomy. Best Coupon Saving is an online community that helps shoppers save money and make educated purchases. Advance the catheter assembly into gallbladder lumen by sonographic guidance; it is possible to visualize tip in gallbladder lumen. It also explains what you need to do before and after it is done. How to find promo codes that work? The cohort selection was determined using diagnosis codes that depend on the accuracy of coding in the . . Donations to UW Health are managed by the University of Wisconsin Foundation, a publicly supported charitable organization under 501(c)(3) of the Internal Revenue Code. Save my name, email, and website in this browser for the next time I comment. Code History 2016 (effective 10/1/2015) : New code (first year of non-draft ICD-10-PCS) This procedure is often performed using ultrasound guidance,which was chosen to describe the procedure in this article. Check thecholecystostomy tube exchange cpt codePortal here to get the information that you are looking for and Just click on the result pages. Peripheral Arterial Disease(PAD)/Peripheral Vascular Diseases (PVD). The cholecystostomy tube was sutured in place using 2-0 Cholecystostomy tube was placed using a pigtail catheter and placed to suction by JP drain. It may not display this or other websites correctly. You. Liver. The CPT code for tube placement is 49440- 41. Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.Ask Dr. Z Disclaimer. Coupon codes usually consist of numbers and letters that an online shopper can use when checking out on an e-commerce site to get a discount on their purchase. The tube site is cleaned when the dressing is changed. All content on the website is about coupons only. The cpt code for Percutaneous transhepatic cholangiogram is 47500 and 47505 (new CPT code 47531 & 47532). 59 may differ. In Chapter 3, page J -36, under "Coding Tips" in J2000: Prior Surgery, criterion 2 has been delet ed, and criterion 3 renumbered to 2. This handout explains the procedure. Code47536 describestubeexchangein the bile duct, which is not the gallbladder. Answer: If the tube is placed in a new site, submit CPT code 66180 Aqueous shunt to extraocular equatorial plate reservoir; external approach, with graft plus the removal for the previous tube and CPT code 65920 Removal of implanted material, anterior segment of eye. Cholecystostomy Tube Check and Removal Date: May 31, 2016 Question: I've been using the new biliary tube check code 47531 as shown on page 395 of your Interventional Radiology Coding Reference for cholecystostomy tube checks. Evenings, weekends, and holidays-this number will give you the paging operator. Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent +CPT Code 47550 is an Add-On code and must be reported with a primary procedure. The bag should be placed so that it is at waist level or lower. Typically a T-shaped tube is left in the common bile duct at the time of surgery (e.g. cholecystectomy) and allows for exploration of the common bile duct (choledochotomy) and retrieval of common bile duct stones. Percutaneous cholecystostomy tube placement for cholecystitis is associated with a higher readmission rate, increased charges, and increased LOS compared to antibiotic therapy alone, even after correcting for age, sex, and comorbidities. The tube may be left in until you have surgery. Ducts carry bile from the liver to the gallbladder and small intestine. We will use ultrasound and x-ray to locate the correct place for the drain. This will drain blocked and infected gallbladder fluid. After the patients symptoms resolve and his/her condition is stabilized, definitive treatment is still gallbladder removal. The Coding Section has been reordered and new sections for CPT/HCPCS Modifiers and Other Coding Information have been added. We are dedicated to providing you with the tools needed to find the best deals online. The flexible drain will slide over the guidewire and into the gallbladder and will be attached to a drainage bag (see picture below). A cholecystogram (injection of contrast into the indwelling catheter under fluoroscopy), performed when the patient is stable, helps establish satisfactory catheter position and the state of the gallbladder. It also allows assessment of any residual calculi in the biliary tree. You must log in or register to reply here. Tube placement is the surgical procedure of inserting a gastric feeding tube. Little MW, Briggs JH, Tapping CR et-al. Most patients go home with the drainage tube in place. The values suggested below were considered based on the literature review, whose references are cited below. No additional imaging or guidance code would be assigned. A 2018 study demonstrated no difference in mortality between percutaneous cholecystostomy and laparoscopic cholecystectomy in high-risk patients with acute calculous cholecystitis, however,laparoscopic cholecystectomy had a significantly lower complication rate than percutaneous cholecystostomy 11. poor surgical candidate / high-risk patients with acute calculousor acalculous cholecystitis 3, unexplained sepsis in critically ill patients (diagnostic for cholecystitis as etiology of sepsis if clinical improvement after cholecystostomy), access to or drainage of biliary tree following failed ERCP and PTC, bleeding diathesis: all attempts should be made to correct coagulopathy, ascites: thought to increase the risk of failed track maturation but a 2015 study demonstrated this is not increased when compared to patients without ascites 10, gallbladder packed with calculi preventing catheter insertion, review all available imaging to confirm the indication for the procedure;previous imaging studies help to assess gallbladder anatomy and plan safe access route to the gallbladder, check full blood count and coagulation profile to assess the risk of hemorrhage, obtain informed consent for the procedure, administer broad-spectrum IV antibiotics 1-4 hours prior to the procedure; septic patients are often already on parenteral antibiotics, arrange analgesia and sedation arranged according to patient comfort and institution protocols. JavaScript is disabled. This prospective study included 10 patients with acute cholecystitis (7 males and 3 females) aged 70-91 years (average age, 81.6 years) between 2013 and 2019. [ edit on Wikidata] Percutaneous transhepatic cholangiography, percutaneous hepatic cholangiogram ( PTHC) is a radiological technique used to visualize the anatomy of the biliary tract. 2 In Chapter 3, page J-36, under "Coding Tips" in J2000: Prior Surgery, the criteria for major surgery needed to be modified to remove the requirement for general anesthesia. You must log in or register to reply here. Clear adhesive tape or paper tape (if sensitive to Tegaderm), Wash hands well with soap and water for 30 seconds. 4 0 obj 9. Bile was removed from the abdomen and the right upper quadrant irrigated. Once you are home, you will need to flush your drain daily to help prevent the drain from becoming clogged. Be sure to tell the Radiologist if you have any allergies to contrast dyes, antibiotics, anesthetic agents, iodine, latex or any other medicines. A small sterile gauze should be placed over the site and covered with a Tegaderm dressing. Hepatogastroenterology. Check for errors and try again. This helps your infection get better and will help make surgery safer if it is needed. So then my only other idea was CPT code 49320 with mod 22? The drain can often be visualized under ultrasound. Your doctors will decide your discharge date. 43760 Change of gastrostomy tube, percutaneous, without imaging or endoscopicguidance. Huang CC, Lo HC, Tzeng YM et-al. What is cholecystostomy tube placement? The tube will be secured in place with a skin suture on the outside of your body. Code 47536 describes tube exchange in the bile duct, which is not the gallbladder. Z93.59 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2023 edition of ICD-10-CM Z93. The drainage catheter is placed once access to the gallbladder is achieved with a needle and guide wire. How can I find the best coupons? , https://www.aapc.com/discuss/threads/cholecystostomy.25491, How tocodethe belowprocedure???? A 0.035 guidewire is used to exchange the needle for a dilator and an 8 French or larger pigtail drain is placed within the gallbladder. Best Coupon Saving is an online community that helps shoppers save money and make educated purchases. <> All incisions were 5 mm and inserted bluntly through the Optiview port and so no fascial closure was required. CMS indicates primary procedure are "Contractor Defined" and may therefore vary among Medicare Administrative Carriers (MACs . Caring for your percutaneous cholecystostomy drain after placement is important to keep it functioning properly and to prevent infections. Laparoscopic cholecystectomy is the procedure of gall bladder removal. The most common Percutaneous Gastrostomy Tube Placement CPT codes used for the insertion of tube in stomach region are given below: 49440 Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report. Patient had CT scan on 10/21/2009 . Lippincott Williams & Wilkins. We are dedicated to providing you with the tools needed to find the best deals online. A cholecystostomy catheter was inserted during the acute phase, followed by cystic duct coil embolization performed via the existing drainage tube tract. 1995;36 (3): 437-41. usecodes47505,74305,47525,75984 fortubecheck and change ofcholecystostomytubeif thetubewas originally placed , https://www.zhealthpublishing.com/zquestions/view/10929, Thecodingadvice may or may not be outdated. TECHNIQUE: The risks, benefits and procedure itself were explained to the patient, and informed written consent was obtained. The coding advice may or may not be outdated. Timing of percutaneous cholecystostomy tube removal: systematic review PC is an effective procedure in high-risk patients with moderate or severe AC. 59 - other international versions of ICD-10 Z93. Sometimes the tube may be permanently left in. We collect results from multiple sources and sorted by user interest. Variation between centers in technique and guidelines for liver biopsy. The coding advice may or may not be outdated. It is reported with CPT codes 47500, Injection procedure for percutaneous transhepatic cholangiography, and 74320, Cholangiography, percutaneous, transhepatic, radiological supervision and interpretation. When the tip of the catheter resides in the gallbladder, why would you code it with 47536? You should check all promotions of interest at the store's website before making a purchase. Toggle the visibility of the Accessibility Toolbar. use codes 47505,74305,47525,75984 for tube check and change of cholecystostomy tube if the tube was originally placed Webif you have Dr. Z's interventional book, it tells you to use abcess codes 49424,76080,49423 & 75984 for tube check and change of cholecystostomy tube if the the tube was originally placed for infection drainage. Produced by the Department of Nursing. CPT Code For Cholecystostomy Tube Removal Cholecystostomy tube is placed inside the bladder for decompression of infected, distended and inflamed gallbladder. 75639003 - Removal of tube cholecystostomy - SNOMED CT Home Codes SNOMED CT Removal of tube cholecystostomy 75639003 SNOMED CT code demo request yours today subscribe start today newsletter free subscription Thank you for choosing Find-A-Code, please Sign In to remove ads. Would we also code the Lap Cholecystectomy with the modifer 53 discontinued procedure. Unscrew trocar from catheter; advance catheter over trocar into gallbladder, then remove trocar and lock pigtail. A corresponding procedure code must accompany a Z code if a procedure is performed. CPT deleted thiscodealong with other percutaneous biliary procedures as part, https://www.bostonscientific.com/content/dam/bostonscientific/Reimbursement/. Check the tube site for signs of infection: Drainage that is green in color or has a bad smell, Check that the stitches at the skin site are still tight and not loose, Using a clean wash cloth, clean around the site with soap and water, Gently scrub the skin around the exit site, Allow the area to dry completely before putting the dressing on, Place sterile 2x2 gauze under the tube and then place another 2x2 gauze over the site, Cover the gauze with the Tegaderm dressing. (This code would be inclusive of contrast injection through the existing catheter.) ICD-10-PCS 0F9430Z is a specific/billable code that can be used to indicate a procedure. Laparoscopic cholecystostomy tube placement can be a useful adjunct in situations where there is severe acute inflammation of the gallbladder and can avoid conversion to open procedure. Interventional Procedures. In this procedure, a tube is placed in either or both the kidneys to excrete urine from the body. A total of 24 (45.2%) patients had surgery: laparoscopic cholecystectomy, n = 11; laparoscopic converted to open, n = 5; open total cholecystectomy, n = 5; open cholecystectomy, n = 1; laparotomy and washout, n = 1; laparotomy partial cholecystectomy and closure of perforated small intestine and gastrostomy, n = 1. Gut. If you have any coupon, please share it for everyone to use, Copyright 2023 bestcouponsaving.com - All rights reserved, Percutaneous Cholecystostomy Tube Cpt Code. It is performed under x-ray or ultrasound. 2013;68 (7): 654-60. Please explain your answer in the IR reference. 49450 Replacement of gastrostomy or cecostomy (or other colonic) tube,percutaneous, under fluoroscopic guidance including contrast injection (s), image . Percutaneous cholecystostomy. Z codes represent reasons for encounters. Request is made for CT guided aspiration. Your doctor has scheduled a percutaneous cholecystostomy tube placement. Question: You recommendcode47536 forcholecystostomytubechange in the IR reference instead of 47490-52. If you are pregnant or think you may be pregnant, please tell the Radiologist. WebCPT CODE FOR INSERTION OF CHOLECYSTOSTOMY TUBE UNDER LAPAROSCOPIC GUIDANCE i was thinking possibly CPT code 47490. Alternatively, modalities such as fluoroscopyor CT can also be used depending on the clinical situation, availability and local expertise: sterile ultrasound probe cover and sterile ultrasound gel, local anesthesia typically with 1% lidocaine, 8-10 French locking pigtail catheter with trocar (thick or purulent bile may require catheter >8 Fr), place sterile drape to isolate the sterile field, apply 1% lidocaine local anesthetic; anesthetize liver capsule when using a transhepatic route, insert catheter using trocar or Seldinger technique, secure catheter to the skin (commercial fixation system could be used), send bile for Gram stain, culture and/or cell count. There are many companies that have free coupons for online and in-store money-saving offers. If You Are Looking For "cholecystostomy tube exchange cpt code" Then Here Are The Pages Which You Can Easily Access To The Pages That You Are Looking For. PC is an effective procedure in high-risk patients with moderate or severe AC. 9, catheter displacement/migration (most common), bile leakage and biliary peritonitis (see:biloma), bradycardia and hypotension from gallbladder manipulation, percutaneous transhepatic cholangiography(PTC), other liver and biliary interventional procedures, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. You may take your normal morning medicines with a sip of water. When you eat, the gallbladder releases bile through a small duct that goes into the gut. If you have any coupon, please share it for everyone to use, Copyright 2023 bestcouponsaving.com - All rights reserved, Percutaneous Cholecystostomy Tube Cpt Code. +CPT Code 47550 is an Add-On code and must be reported with a primary procedure. You will be given a sheet telling you how to flush your drain (Health Facts for You #5721). The doctors will remove the needle. The site tracks coupons codes from online stores and update throughout the day by its staff. stream . What are coupon codes? Type II Add-on codes do not have a defined set of primary procedure codes identified by AMA CPT. Loozen Charlotte S, van Santvoort Hjalmar C, van Duijvendijk Peter, Besselink Marc GH, Gouma Dirk J, Nieuwenhuijzen Grard AP et al. Trying to find the "cholecystostomy tube exchange cpt code" Portal and you want to access it then these are the list of the login portals with additional. Bile can then be aspirated for microbiological studies. Patient had CT scan on 10/21/2009 demonstrating a persistent pericholecystic collection. endobj So if the content contains any sensitive words, it is about the product itself, not the content we want to convey. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); 1440 Central Park Blvd Suite 108Fredericksburg, VA 22401, 13135 Lee Jackson Memorial Hwy Suite 145Fairfax, VA 22033, #am-social-unique-id-8772 .am-social-svg {width:30px; height:30px}#am-social-unique-id-8772 .am-social-svg .svg-shape {fill: transparent} 47541 Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic . Using bestcouponsaving.com can help you find the best and largest discounts available online. "8?:Bl_Nq8&#|*GX3iq_ Heres what you need to know to be sure yourcodingis current and correct. At the time the article was last revised Jonathan Paul Spanos had then do contact customer support. The 2023 edition of ICD-10-CM Z93.59 became effective on October 1, 2022. Clin Radiol. The following ICD-10-CM code has been added to Group 1 ICD-10-CM codes in the article: R11.15. Using bestcouponsaving.com can help you find the best and largest discounts available online. Since there is no code for the exchange of this tube, shouldn't it be coded with a -52 modifier for reduced service rather than coding for an exchange of a tube in a different location? Cholecystostomy Tube Placement/ChangesExchanges of these drainage catheters may be necessary if they become clogged and stop draining. They will also check the amount and color of the bile that drains from the tube. Your procedure will be done under conscious sedation. Cholecystostomy is a procedure for putting a tube into your gallbladder to drain fluid. 10. A small guidewire is placed through the needle and into the gallbladder. https://www.aapc.com/blog/46496-up-to-date-gastrostomy-tube-coding, For 2019, theCPT codebook made changes that affect propercodingfor replacement or change of a gastrostomytube. Percutaneous hepatic cholangiogram. Start: Sep 8, 2022 Get Offer Offer 2023 Icd-10-cm Diagnosis Code Z93.59 59 became effective on October 1, 2022. If you experience fever, nausea, vomiting, unusual pain in your abdomen or the drainage tube comes out, call your doctor immediately. Procedure categorized by device involved 363691001. This question was answered in our Essentials of Interventional Radiology Coding. This video will e. Drape was placed. I tend to agree with you on using the following ICD-10-CM. Removal of tube cholecystostomy 75639003. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions. CMS categorizes this code as a "Type II Add-on Code". Are you looking for "Cpt Code Cholecystostomy Tube Placement"? Once we mark the area, we will inject a numbing medicine into the skin around the area where we will be working. 2007;24 (12): 836-40. Your nurse will show you how to do this before you leave the hospital. Duncan C, Hunt S, Gade T, Shlansky-Goldberg R, Nadolski G. Outcomes of Percutaneous Cholecystostomy in the Presence of Ascites. It would be included in the Professional component (PC). This is completed in Interventional Radiology (IR). 2021Coding &Payment Quick Reference. You should not eat anything for 6 hours prior to your procedure. Emerg Med J. For the Technical component (TC), you could charge a low level E&M code. . This minimally invasive procedure can aid in patient stabilization in order to enable a more measured surgical approach with time for therapeutic planning. Catheter is flushed and aspirated regularly with saline (6 to 8 hourly). I need to know how you would code this surgery. This procedure is performed using conscious sedation. Acholecystostomyis a procedure where a stoma is created in the gallbladder, which can facilitate placement of atubefor drainage. In this invasive procedure, the technique of laparoscopy is used and gall bladder is removed by making 4 to 5 small incisions than a long cut. Your nurse will teach you how to take care of your drain before you go home. !/xe}D='ORqG07zn_9#~d$=.v7~I&? wwPy!9g]he 1 vPi}"`yStKw NV F=`vH7#DIfXp$ The patient was placed on table in the supine position. It is sometimes used in cases of cholecystitis, where the patient is critically ill, or if there is a need to delay cholecystectomy (surgical removal of the gallbladder). Select Laparoscopic Cholecystectomy Procedures with and without Common Bile Duct Exploration (CBDE) Payer policies will vary and should be verified prior to treatment for limitations on diagnosis,codingor site of service requirements. A cholecystostomy is a procedure where a stoma is created in the gallbladder, which can facilitate placement of a tube for drainage. 3. This is not to be used for diagnosis or treatment of any medical condition. no financial relationships to ineligible companies to disclose. Keep a record of the amount of drainage. Current percutaneous biliary interventions include percutaneous transhepatic cholangiography (PTC) and biliary drainage to manage benign [ 1] and malignant obstruction and percutaneous. It will drain green/yellow/brown bile. To report, see 47531-47541) You will feel relaxed. The patient was placed supine on , https://www.medtronsoftware.com/pdf/2015/2016/2016_Digestive.pdf, procedurefor percutaneous transhepatic cholangiography Deleted (47500, 47505, 47510, 47511, 47525, 47530 have been deleted. Take Extra 40% Off Select Dog Collars with Coupon Code, Save 30% Off Select FabDog Items with Promo Code, Apply coupon HAPPY2016 at checkout to avail discount, Free Interior Disassembly Tool Kit For BMWs on $250+ order +. Routine change ofcholecystostomytube. Percutaneous transhepatic gall bladder drainage: a better initial therapeutic choice for patients with gall bladder perforation in the emergency department. Flush your drain toward your body with 10cc of normal saline daily. Removal of device 128538000. A cholecystogram (injection of contrast into the indwelling catheter under fluoroscopy), performed when the patient is stable, helps establish satisfactory catheter position and the state of the gallbladder. Patient had CT scan on 10/21/2009 demonstrating a persistent pericholecystic collection.
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