Ask Dr. Z

Below is an operative report from one of my providers. The provider is indicating we bill as indicated below; however, I think there may be more catheter placements or angiographies. What are your thoughts?

• Digital subtraction cerebral venography. • Introduction of needle catheter into the right femoral vein under continuous ultrasound guidance (76937). • Selective catheterization/venography right jugular bulb. • Selective catheterization/venography anterior third of the superior sagittal sinus (36012/75870). • Selective venography torcula second order vessel venous system, AP and lateral views centered over the skull. • Selective catheterization/venography left jugular bulb across the bilateral transverse sinuses (36012/75860 only billing once, not bilateral). • Selective venography left transverse sinus second order vessel venous system, AP and lateral views centered over the skull (36012/75860). • Venous sinus pressure measurements through catheter of the anterior middle and posterior superior sagittal sinus torcula, left jugular bulb, + 9 other vessels (75898 x 1).