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Subclavian dual vortex port placement with vein cutdown and open exposure

Date: Apr 16, 2020

Question:

"Left IJ vein accessed and venography performed. Occlusion found and unable to surpass occlusion. Subclavian vein was accessed instead. After multiple attempts, they switched to a cutdown and open exposure of the subclavian vein in order to place the dual vortex catheter. Catheter finally was placed in the atriocaval junction under fluoro. Subclavian vein sutured and repaired." How should this be coded? Is open exposure of the subclavian vein bundled with 36558? My codes are 37799 (catheter placement in IJ), 75860, 36558, and 77001.

Question ID : 13428
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