Ask Dr. Z

I have been seeing a lot more reports stating two guidances and was wondering if you can use two guidances on procedures. Example is 32550 & 75989, the report states: "Under ultrasound guidance, an 18 gauge needle was placed into the left pleural cavity. A tract was tunneled from the lateral aspect of the left back to the access site using a tunneling device which was used to pull the Pleurx catheter through the tract. The needle was exchanged over a Rosen wire for serial dilators and a peel-away sheath. The catheter was placed through the peel-away sheath, which was removed. Fluoroscopic image demonstrated the catheter to be in good position." So I don't see anything in the CPT book stating you can't. Am I wrong on this?