Ask Dr. Z

Patient had a pericardiocentesis, and the drain was left in place. The next day the provider went to pull the drain and it would not release. Fluoroscopy was used to assist in finding the problem. The following was documented: "I was unable to remove his pericardial drain. I took him to cath lab and under flouro attempted to remove drain. It was not able to be removed initially, as it appeared there was a fulcrum effect with the drain near his skin. We inserted a wire, straightened the catheter, and it was easily removed. There were no complications. The area was cleaned, and a dressing was placed." Would it be appropriate to bill for the fluoro in this case?