Ask Dr. Z

Hi Dr. Z. I need your help. Scenario 1 A 50 year old patient presented for placement of PICC line, the right basilic vein was accessed, this access site was abandoned due to an occlusion of the vein, the PICC line was then successfully placed via the left basilic vein. Is it safe to say only the successful PICC placement should be reported 36569? Scenario 2 50 year old patient presented for placement of a PICC line, right basilic vein access was occluded the physician performed a formal extremity venography to evaluate the abnormality with documentation of the clinical findings, the PICC line was successfully placed via the left basilic vein. I coded the successful PICC line 36569 Would it be appropriate to additionally report the extremity venography (75820) and the vein access (36005)?