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Date: Jul 20, 2010

Question:

5 mo. year old female with a history of ALCAPA and recent Heart transplant. Presents for initial RHC and Bx per transplant protocol (93530, 93505). In addition, she underwent an innominate vein contrast injection. An end-hole catheter was advanced up the IVC into the SVC and subsequently into the innominate vein (36011) near the junction of the left subclavian and left internal jugular vein. With injection we see an nonobstructed innominate vein. There does appear to be mild narrowing of the superior portion of the SVC just below the entry of the innominate vein which is best appreciated on the lateral projection. Total fluoro time was 7.5 minutes, total contrast used was 2 ml. The findings are otherwise unremarkable. What code do I report for the venography?

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