Shirleybala
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Hello plz confirm these codes work on below documentation
36556
36011
36011-59
76937-26
76937-2659
76937-2659
Procedure: Non-tunneled hemodialysis catheter placement, left
common femoral vein sheath, left internal jugular vein sheath
Initially the procedure was discussed with the patient including
risks, benefits and alternatives. Risks discussed included but
were not limited to bleeding, infection, venous thrombosis and
occlusion. The patient appeared to understand, asked appropriate
questions \T\ signed informed consent. 0.5 Minutes fluoroscopy
time. The patient received IV Versed and fentanyl for conscious
sedation and analgesia, administered and monitored by the
interventional radiology nurse.
Preliminary ultrasound of the right groin, left groin and left
internal jugular vein demonstrates patency of the right femoral
vein, left femoral vein and left internal jugular vein. The
bilateral groins and left neck were then prepped and draped in the
usual sterile manner and locally anesthetized with one percent
lidocaine. Under real-time ultrasound guidance, the right femoral
vein was accessed with a micropuncture set. A sonographic
recording was made for patient's medical record. An Amplatz wire
was then advanced into the inferior vena cava. The tract was then
dilated, and a 14 Fr 24 cm long Schon XL vascath was placed,
catheter tips in the inferior vena cava. Good bidirectional flow
was noted from both lumens, which were locked with heparin
solution. The catheter was sutured in place with 2-0 prolene and
a sterile dressing applied.
Under real-time ultrasound guidance, the left femoral vein was
accessed with a micropuncture set. A sonographic recording was
made for patient's medical record. An Amplatz wire was advanced
into the inferior vena cava. The tract was then dilated, and an
8-French sheath was placed. The tip of the sheath is in the left
iliac vein. The sheath was flushed with saline. A sterile
dressing was then applied.
Under real-time ultrasound guidance, the right internal jugular
vein was accessed with a micropuncture set. A sonographic
recording was made for patient's medical record. An Amplatz wire
was advanced, the tract was dilated and a 5-French sheath was
placed. The tip of the sheath is in the left brachiocephalic
vein. The sheath was flushed with saline. The sheath was secured
to the skin with 2-0 Prolene a sterile dressing applied.
The patient tolerated the procedure well, left the department in
stable condition. No immediate complications.
Impression:
SUCCESSFUL PLACEMENT OF RIGHT FEMORAL 24 CM LONG
SCHON XL VASCATH, CATHETER TIP IN INFERIOR VENA CAVA.
SUCCESSFUL PLACEMENT OF 8 FRENCH SHEATH IN LEFT FEMORAL VEIN WITH
TIP IN LEFT ILIAC VEIN.
SUCCESSFUL PLACEMENT OF 5 FRENCH SHEATH IN LEFT INTERNAL JUGULAR
VEIN WITH TIP IN BRACHIOCEPHALIC VEIN.
36556
36011
36011-59
76937-26
76937-2659
76937-2659
Procedure: Non-tunneled hemodialysis catheter placement, left
common femoral vein sheath, left internal jugular vein sheath
Initially the procedure was discussed with the patient including
risks, benefits and alternatives. Risks discussed included but
were not limited to bleeding, infection, venous thrombosis and
occlusion. The patient appeared to understand, asked appropriate
questions \T\ signed informed consent. 0.5 Minutes fluoroscopy
time. The patient received IV Versed and fentanyl for conscious
sedation and analgesia, administered and monitored by the
interventional radiology nurse.
Preliminary ultrasound of the right groin, left groin and left
internal jugular vein demonstrates patency of the right femoral
vein, left femoral vein and left internal jugular vein. The
bilateral groins and left neck were then prepped and draped in the
usual sterile manner and locally anesthetized with one percent
lidocaine. Under real-time ultrasound guidance, the right femoral
vein was accessed with a micropuncture set. A sonographic
recording was made for patient's medical record. An Amplatz wire
was then advanced into the inferior vena cava. The tract was then
dilated, and a 14 Fr 24 cm long Schon XL vascath was placed,
catheter tips in the inferior vena cava. Good bidirectional flow
was noted from both lumens, which were locked with heparin
solution. The catheter was sutured in place with 2-0 prolene and
a sterile dressing applied.
Under real-time ultrasound guidance, the left femoral vein was
accessed with a micropuncture set. A sonographic recording was
made for patient's medical record. An Amplatz wire was advanced
into the inferior vena cava. The tract was then dilated, and an
8-French sheath was placed. The tip of the sheath is in the left
iliac vein. The sheath was flushed with saline. A sterile
dressing was then applied.
Under real-time ultrasound guidance, the right internal jugular
vein was accessed with a micropuncture set. A sonographic
recording was made for patient's medical record. An Amplatz wire
was advanced, the tract was dilated and a 5-French sheath was
placed. The tip of the sheath is in the left brachiocephalic
vein. The sheath was flushed with saline. The sheath was secured
to the skin with 2-0 Prolene a sterile dressing applied.
The patient tolerated the procedure well, left the department in
stable condition. No immediate complications.
Impression:
SUCCESSFUL PLACEMENT OF RIGHT FEMORAL 24 CM LONG
SCHON XL VASCATH, CATHETER TIP IN INFERIOR VENA CAVA.
SUCCESSFUL PLACEMENT OF 8 FRENCH SHEATH IN LEFT FEMORAL VEIN WITH
TIP IN LEFT ILIAC VEIN.
SUCCESSFUL PLACEMENT OF 5 FRENCH SHEATH IN LEFT INTERNAL JUGULAR
VEIN WITH TIP IN BRACHIOCEPHALIC VEIN.
