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Venography and PICC Line

Date: Mar 24, 2015

Question:

Please let me know if I can code venography and PICC line together on this type of case. "Clinical History: Needs improved central venous access, poor peripheral access. A small amount of contrast was injected, confirming chronic occlusion of the right upper extremity central venous system. Therefore, right internal jugular central venous catheter placement was pursued. Access to the right internal jugular vein was gained by sonographically-guided puncture. A permanent sonographic image was obtained. The vein was confirmed to be patent. Under fluoroscopic guidance, a dual lumen peripherally-introduced central venous catheter was placed with the tip at the junction of the superior vena cava and right atrium at completion. A permanent radiographic image was obtained. Fluoroscopy time was 3.1 minutes. Successful placement of right internal jugular central venous catheter." Please let me know if I can report codes 75820 (not sure), 77001, 76937, and 36556 for this case.

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