Ask Dr. Z

Please help with coding this report. Would codes 33320, 36010, and 75827-26 be appropriate? I was also thinking about codes 36597and 76000 since they had to reposition it back in place. Do I separately code for thoracotomy? I am really lost on the coding for this one! "Fluoroscopy was used, demonstrating that the proximal port was in the SVC and the distal port was within the pleural space. Completion venogram showed distal port was now in the right atrium. Once the cath was originally determined to be in the pleural space, the patient was placed in the left lateral decubitus position, sterilely prepped, and sterilely draped. A thoracotomy incision was made. Entry was through the fifth intercostal space. Lung was retracted and cath identified. Purse-string suture in position, and cath was then pushed back into the SVC and placed into the right atrium. Suture was tied. There was no hemorrhage from suture, and the chest was closed. Chest tube in place. Fluoroscopy was brought back into position and distal tip in the RA."