Ask Dr. Z

What can be coded using the following documentation? Only 37197? I am having trouble deciphering.

"Procedure: Venogram of the right subclavian artery, venogram of the right internal jugular artery, central line placement in the right femoral vein, repositioning of the tip of the venous port.

5 French sheath was placed in the right femoral artery. I advanced an IM curved catheter, had difficulty advancing the catheter, and I did angiogram to the subclavian artery and to the superior vena cava. I was unable to visualize the internal jugular. Subsequently we did an injection through the port, and I was able to visualize the internal jugular artery. I repositioned the catheter advanced IM catheter up to the internal jugular then exchanged over a wire to multipurpose and I used a snare catheter was able to capture the tip of the port and then reposition it down to the superior vena cava."