Ask Dr. Z

I'm trying to determine whether I should use 36595 and 75901 or 37187 for the angioplasty of the fibrin sheath. I prefer 36595 and 75901 due to them indicating it is due to the device and not just the vein but but Coding Clinic for HCPCS - Second Quarter 2012 Page: 5-6 indicates to use 37187. Can I get your take on this? Thank you! "The skin surrounding the indwelling left jugular permacath as well as the external portions of the catheter were prepped and draped using maximal sterile barrier techniques. Lidocaine 1% was infiltrated for local anesthesia. The catheter was freed from the subcutaneous tissues using gentle traction. The catheter was removed over two stiff glidewires. A 10 mm x 4 cm balloon was advanced the brachiocephalic vein for SVC venogram. Balloon dilatation was performed throughout the left brachiocephalic vein and superior vena cava. A 28 cm BioFlow DuraMax permacath was placed to the right atrial/SVC junction. The catheter easily aspirated and flushed."