Ask Dr. Z

So many times we get post procedure chest x-rays and it is unclear as to why it was ordered. Therefore, we do not know if it a confirmation of PICC placement or CVC.... Our physicians do check placement usually with fluoro or spot imaging in the angio suite. This is noted in the procedure report. If a CXR is performed (for example) 30 minutes post procedure. It is not clear as to why it was ordered and it is ordered by a different treating physician. Can we bill it, or is that still considered inclusive of the PICC or CVC? Yes, the radiologist will notate the line placement because it is the elephant in the room so to speak.