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ICV GRAM INCLUDED IN LOWER EXTREMITY VENOGRAM?
Question:
If the doctor does a left lower venogram and gives findings for the IVC as well as the lower veins does that mean I should bill for an IVC venogram also? This was done through the access sheath. In this case the doctor did go on to place her catheter into the IVU and did IVUS which I billed.
Should the catheter be in either the SVC or IVC before I bill 75825/75827? This is from your book: Vena cava angiography can be performed from a peripheral injection at the time of extremity venography (36005) or by placing the catheter centrally into the vena cava (36010). Essentially it seems that would be billing for 2 studies when done from one access. I really struggle with the Venous system. Thank you.
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