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Physician documentation regarding 76937

Date: Aug 15, 2012

Question:

Dr. Z: I have a question regarding CPT 76937. The radiologist documents the following: "A limited ultrasound examination was performed to confirm the existence and patency of the right internal jugular vein. An image was saved in the chart. The skin was anesthetized with 1% lidocaine. Under direct ultrasound guidance the vein was punctured with a 21-gauge micropuncture needle." Must the radiologist specifically state that permanent US recording was made of the needle access? Thank you for your assistance!
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