Ask Dr. Z

Can you take a look at this one for me? Do codes 77001 and 36584 fit this case? Anything else?

"Superior venacavography and right upper extremity venography via the existing PICC site.  Exchange of existing 6 French PowerPICC line for same. The existing catheter was cut over a wire, and a sheath was placed. A 5 French diagnostic catheter was placed to the level of the axillary vein, and venography was performed. The right internal jugular vein was catheterized as well, and venography was performed. This revealed a widely patent central venous circulation. A new 6 French PowerPICC line was placed over a wire  with its tip residing at the cavoatrial junction. The line was sewn to the skin with 2-0 Ethilon, sterilely dressed, and flushed with sterile saline. Spot and digital subtraction angiography was sent to PACS archive. Total fluoroscopy was 7.4 minutes.  Findings: Normal central venography. No evidence of hemodynamic significant stenosis or thrombus. The right internal jugular venin is patent. No evidence of thrombus in the right upper extremity venography."