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Venous access via PPM/ICD pocket

Date: Sep 5, 2019

Question:

I have a case where an ESRD patient (AV shunt in left arm) presented to cath lab for upgrade of a dual PPM to CRT-D (primary prevention). The left UE venogram could not be performed due to the presence of the shunt, so the cardiologist opened the PPM pocket, accessed the vein (via the pocket), and performed a venogram, which revealed an occluded innominate-SVC junction. What CPT code would I use for the venous access on this case?

Question ID : 12937
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