In simple words: This procedure uses imaging technology like X-rays, ultrasound, or CT scans to guide the placement of a small tube into an abscess to drain it. The doctor uses a needle to reach the abscess and then inserts a thin, flexible tube through the needle into the abscess. The tube helps to drain the pus completely.A special dye may be used to make the area easier to see on the imaging scans. The doctor watches the images to make sure the tube is in the right place and interprets the images to determine the success of the drainage.

This code describes a procedure where the provider performs imaging supervision and interpretation for the drainage of an abscess or specimen collection using a catheter under imaging guidance (fluoroscopy, ultrasound, or CT). It includes placement of an indwelling catheter. The procedure involves locating the abscess site, using a needle to reach it, advancing a catheter via a guide wire to the abscess under imaging guidance, and maintaining the drainage tube for complete pus drainage. Contrast medium may be injected to enhance imaging.The provider responsible for supervising and interpreting the imaging reports this code.

Example 1: A patient presents with a deep pelvic abscess. Under CT guidance, a needle is inserted into the abscess, a guidewire is placed, and a drainage catheter is inserted.The radiologist supervises and interprets the imaging, reporting 75989., A patient has a liver abscess following surgery.Using ultrasound guidance, the abscess is located, and a catheter is inserted percutaneously for drainage. Fluoroscopy is used to confirm placement. The radiologist provides supervision and interpretation, billing 75989., A patient has a suspected infected lymph node. Under ultrasound guidance, a needle is inserted into the node to obtain a specimen for culture. A catheter is placed to facilitate drainage. The radiologist supervises and interprets the procedure, reporting code 75989.

Documentation should include type of imaging guidance (fluoroscopy, ultrasound, CT), location of abscess/specimen collection site, placement of catheter, and a report detailing the radiologist’s supervision and interpretation.