Attempted Port Placement

hwilcox07

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MOBILE, AL
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Needle access into remnant of right and left IJ under ultrasound
guidance for attempted port placement. Informed consent was obtained from the patient for port placement.
Ultrasound evaluation however showed what appeared to be some remnant of
internal jugular veins bilaterally. Under ultrasound guidance first the
right, then the left remnant of the internal jugular vein was cannulated
. A
wire, however, was unable to be placed centrally from either location.
Patient with history of previous neoplastic disease and radiation therapy.
Case was discussed with Dr. X's nurse. Formal vascular ultrasound
evaluation may be useful for further evaluation of the patency or occlusion
of the central venous system. Access from the common femoral vein may be
attempted if no other suitable site is found/available
The patient tolerated this procedure will no evidence of immediate
complications.
Should I report 36561-53 or maybe 36011-50?
Thanks for any guidance :)
 
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