Ask Dr. Z

Is this enough documentation to bill code 77001? "We now brought a 28 cm tunneled dialysis catheter onto the field, and we made a stab incision in the infraclavicular left chest. We anesthetized a tunnel between this puncture incision and the access site to the left jugular vein. Of note, the access site to the jugular vein as well as the infraclavicular puncture site and tunnel were separate from the patient's recently removed catheter. We now brought the catheter between the puncture incision and the access site to the jugular vein. We sequentially dilated the tract into the jugular vein and placed a sheath into the jugular vein. We then passed the catheter through the sheath and placed at with the tip at the junction between the right atrium and superior vena cava. The sheath was removed and a pull away fashion. Following sheath removal fluoroscopy demonstrated no kinking of the catheter."