What documentation does my doctor need to dictate to allow code 49405–49407 as opposed to 10160?


Codes 49405–49407 are specified as “drainage.” According to the AMA, “drainage” requires placement of an indwelling catheter. If the fluid is removed via a needle or catheter that is not left in place, then the procedure is considered “aspiration” and not drainage. So, your doctor needs to document whether a catheter was left in place or not.


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