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replacement of tunneled CVC with Angioplasty IJ and SVC

Date: Feb 3, 2023

Question:

50 year patient. Malfunctioning tunneled CVC was removed, after angioplasty of the right IJ with 12 x 40 mm balloon, there was resolution of stenosis to less than 10% residual stenosis. After angioplasty of the SVC with 12 x 60 mm balloon, there was resolution of stenosis. A 23 cm DuraMax catheter was placed over a guidewire with its tip in the atriocaval junction in good position. The catheter was functioning with good blood return and flushed without difficulty.

What would be the correct code(s) for this removal of tunneled CVC, angioplasty of IJ and SVC, and new tunneled catheter on over the same guidewire?

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