Wiki 36598 with 75825

Shirleybala

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Should we have to code 36598 or 75825:
With the patient in the
supine position the right upper chest and indwelling catheter were
prepped and draped in the usual sterile fashion. After the
administration of local anesthesia, the subcutaneous cuff was
freed using blunt dissection. A stiff shaft hydrophilic guidewire
was advanced through the catheter and guided down the inferior
vena cava. The indwelling catheter was then withdrawn into the
right brachiocephalic vein. A superior venacavogram was performed
using CO2 contrast demonstrating a fibrin sheath at the catheter
tip with narrowing of the superior vena cava
 
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It sounds like you removed a tunneled cath which would be 36589 and I'd code 75827 for the svc gram.

Diane Huston, CPC,RCC
 
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