Ask Dr. Z

Please do NOT include any actual patient medical records with your question. Dr. Z, Percutaneous sclerosant injection multiple focal venous malformations of right thigh. This procedure was done by an IR physician by injecting sodium tetradecyl sulfate foam followed after a few minutes and by one amount of absolute ethanol. However before IR physician stared the procedure the US department provided sonographic guidance for cannulation of multiple malformations in the right quadriceps muscle. The ultrasound department wants to charge this with 76998 along with IR phycian charges for sclerosis. Is this a appropriate charge for guidance here? Thanks