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Misplaced Central Line, Closure, and Aortic Arch

Date: May 21, 2014

Question:

Patient was sent to the cath lab with a central line removal and possible surgical intervention. The central line catheter was placed from subclavian vein and ended in the innominate artery. We imaged this to confirm placement. We changed out the central line catheter to a 4 French sheath and used an AngioSeal to close. We then accessed the groin to do an aortic arch to be sure that there was no extravasation. I have reported code 36221. Can we code for the injection through the central line?

Question ID : 5641
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