gallbladder fossa

katysuegood@gmail.comkatysuegood@gmail.com
in Clinical & Coding

I have a patient that had a chole and was discharged and then later developed a post-op abscess. The documentation states the abscess is of the ‘gallbladder fossa’ and they did an IR drainage of the fluid collection in the ‘gallbladder fossa’.

How would you code this procedure? Or do I need to query for location: Liver bed vs peritoneum vs ??

 

Thanks!


Katy

Comments

  • laura.rogers@franciscanalliance.orglaura.rogers@franciscanalliance.org

    I had a patient with this condition recently.  After (much) discussion, we chose Peritoneal abscess as the diagnosis.  Since the abscess was occupying an empty space, and the liver and gallbladder are considered part of the peritoneal space, it seemed the best choice.

    Hope this helps,

    Laura


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