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Attempted IVC removal, not able to cross innominate

Date: Apr 26, 2021

Question:

I am confused on what I can code here. "Under ultrasound, the right IJ was occluded. A needle was introduced into the left IJ, and a wire was placed down in the IJ. A 5 French sheath was placed over the wire, and a venogram was performed. This showed occlusion of the left innominate vein. Multiple attempts were unsuccessfully attempted to cross the left innominate vein with the angled Glidewire and the Berenstein catheter. After multiple attempts, the wire and Berenstein catheter were removed, the sheath was removed, pressure was held, hemostasis was obtained, and a sterile dressing was applied."

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