Dr. Daniel Siragusa, MD

CPT Codes:

• 49083: Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance
• 49406: Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous

CPT Codes:

• 36247: Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family
• 36248: Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)
• 36246: Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family
• 36245: Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family
• 49418: Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous

CPT Codes:

• 49423: Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure)

CPT Codes:

• 49440: Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report

CPT Codes:

• 47536: Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation

CPT Codes:

• 49450: Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report

CPT Codes:

• 49424: Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure)

CPT Codes:

• 49180: Biopsy, abdominal or retroperitoneal mass, percutaneous needle

CPT Codes:

• 10005: Fine needle aspiration biopsy, including ultrasound guidance; first lesion
• 50200: Renal biopsy; percutaneous, by trocar or needle
• 47000: Biopsy of liver, needle; percutaneous
• 32408: Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed

CPT Codes:

• 32555: Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance

CPT Codes:

• 32557: Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance

CPT Codes:

• 38222: Diagnostic bone marrow; biopsy(ies) and aspiration(s)

CPT Codes:

• 38505: Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)

CPT Codes:

• 50435: Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation

CPT Codes:

• 50432: Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation
• 50593: Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy

CPT Codes:

• 50387: Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation

CPT Codes:

• 62284: Injection procedure for myelography and/or computed tomography, lumbar

CPT Codes:

• 64647: Chemodenervation of trunk muscle(s); 6 or more muscles

CPT Codes:

• 62323: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT)