Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2021. The coding advice may or may not be outdated.

Spinal Cerebrospinal Fluid Leak, Spontaneous

Date: Dec 15, 2021

Question:

"TECHNIQUE: Using sterile technique and ultrasound guidance to access the vessel, patency was shown, and after anesthetizing the skin with lidocaine, the right common femoral artery was punctured successfully. A permanent image was created and stored. Using sterile technique and local anesthetic, a 6 French sheath was placed in the right common femoral vein via modified Seldinger technique. A 5 French long vertebral catheter was placed in the superior vena cava through a 6 French Benchmark catheter. We then advanced the catheter into the right vertebral vein. A venogram was performed. We then advanced a Headway Duo microcatheter over a Synchro Softip microguidewire to the C5-C6 radicular vein. A venogram was performed. The vein was then embolized using Onyx 34. A final x-ray and XperCT were performed." 

Can you please help with the coding? I came up with 76937, 36012 x 2, 76496 x 2, 61624, 75894, and 76377. This was done on an independent workstation under direct supervision and interpretation. If the spinal venograms were diagnostic, would they be reported with unlisted code 76496?

Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!