bilateral venograms with catheter placement

[jamaya]

If a patient comes in and has a venogram on the rt side jugular vein and it gets stopped by an occlusion so the Interventionalist performs a venogram on the lt side jugular vein and places a catheter, then what would I code?

75860 RT/LT- RS&I
36556 CVA

Help

[dpeoples]

Originally Posted by jamaya

If a patient comes in and has a venogram on the rt side jugular vein and it gets stopped by an occlusion so the Interventionalist performs a venogram on the lt side jugular vein and places a catheter, then what would I code?

75860 RT/LT- RS&I
36556 CVA

Help

Could you provide a report?

[dpumford]

Yes, a report would be helpful but I am going to take a stab at this without the report

For the venogram on the rt side I would use 36005 Rt-59 & 75820-26. ( I take it that is were he attempted to place the quinton cath?)

Now when you say catheter on the left you mean a Quinton catheter. I am thinking that because you coded 36556, which is a Quinton, non-tunneld catheter placement.

So with out report I am only asuming but take a look at codes
36556-Lt
36005-Rt 59
75820-26

Your dx for 36005 would be different than the 36556.

Hope this helps!