Ask Dr. Z

I'm unsure if I should code any of the work that was done prior to the incision being made. Would you code and modify with reduced services 37197, 75820, 36005 or ONLY code 10120? Thank you for your help! DIAGNOSTIC VENOGRAPHY OF THE RIGHT CEPHALIC VEIN WAS PERFORMED THROUGH THE 4 FRENCH SHEATH. THE RIGHT CEPHALIC VEIN IS PATENT. A 1 CM LINEAR FOREIGN BODY PARALLEL WITH THE CEPHALIC VEIN IS PRESENT. FOREIGN BODY RETRIEVAL UNDER FLUOROSCOPIC GUIDANCE, ATTEMPTS TO SNARE THE FOREIGN BODY WITH 2 MM AND 4 MM LOOP SNARES WERE UNSUCCESSFUL. ATTEMPTS TO DISPLACE THE FOREIGN BODY WITH A 4 MM BALLOON UNDER FLUOROSCOPY WERE ALSO UNSUCCESSFUL. UNDER FLUOROSCOPIC GUIDANCE, A 5 MM INCISION WAS MADE OVER THE SITE OF THE FOREIGN BODY. WITH MINIMAL DISSECTION, THE FOREIGN BODY WAS ABLE TO BE REMOVED. A MAGNIFICATION VIEW SINGLE SHOT X-RAY WAS PERFORMED DEMONSTRATING SUCCESSFUL RETRIEVAL.