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Placement and Removal of TDC with Contralateral TDC same session

Date: Mar 19, 2021

Question:

"Patient with thrombosed AV graft taken to operating room for TDC. The TDC was placed via right IJ, but the arterial port aspirated with resistance. There was a kink at the apex of the catheter at the insertion site into the IJ. After several attempts to correct, decision was made to remove all wires and catheters. Attention was turned to the left side and TDC was placed via left IJ. Ultrasound guidance and fluoroscopy were used on both sides." Should we assign code 36558-53 for the right side? Would we report codes 76937-26 and 77001-26 for both sides?

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