Ask Dr. Z

Would CPTs 36581, 36595-5952, 75901 or 36581, 77001 be appropriate for the following procedure? "The right neck was prepared and draped in sterile fashion. The patient's existing catheter was prepared and draped. A wire was passed through the catheter into the inferior vena cava under fluoroscopic guidance. The catheter was removed through the existing tunnel. A 10 mm x 4 cm balloon was placed through the existing tunnel into the lower superior vena cava and right atrium. Balloon angioplasty was performed with the intention to remove any residual fibrin sheath in the lower superior vena cava and right atrium. The balloon was removed. The patient's catheter was replaced with an identical line. The catheter was flushed and sutured into place. There were no immediate complications. A final spot radiograph shows the tip of the catheter to be in the right atrium."