Please note this question was answered in 2014. The coding advice may or may not be outdated.
Hepatic Vein with Pressures
Question:
Would it be correct to use codes 93451, 36011, and 76942 for this operative report?
"Right heart catheterization. Smart needle/site. Right hepatic vein venogram was prepped and draped in the usual sterile fashion. Under lidocaine 2% local anesthesia, an 8 French sheath was placed in the right internal jugular vein using the modified Seldinger technique under ultrasound guidance. A 7 French balloon-tipped catheter was advanced through the right atrium into the IVC. The catheter was positioned into the hepatic vein, and wedge hepatic vein pressure was obtained. Confirmation of wedge position was confirmed by hepatic vein venogram via hand injection of 5 cc of contrast. Multiple measurements of WHVP and FHVP were obtained per study protocol. Repeat FHVP measurement was obtained about 1-2 cm from IVC. IVC and RA pressures were recorded. Following the procedure, the sheath was removed and hemostasis obtained with manual pressure . There were no immediate complications."
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