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lcouto

Networker
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77
Location
Stuart, FL
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Would this be coded as 36573 or 36556? One of girls feels it should be the first code but I am thinking that it should be the second... Thanks for your help



Procedures Performed


CENTRAL VENOUS CATHETER INSERTION


Indications

Acquired insufficiency of aortic valve [I35.1 (ICD-10-CM)]
Condition

Cardiac Output Condition HR BSA Systemic Arterial Hemoglobin K O2 Estimated O2
O2 REST 1.9 m2 8.9 g/dL 133 252.7
Implants

Name ID Temporary Type Supply
No information to display
Complications

Complications documented before study signed (8/23/2021 4:54 PM)

No complications were associated with this study.


Summary

Conclusion:
After informed consent was obtained the patient was prepped and draped in a sterile fashion. Ultrasound was used to identify the right internal jugular vein. Lidocaine was administered over the skin and subcutaneous tissue. Under direct ultrasound guidance percutaneous access was obtained with a micropuncture kit. I placed a 4 French sheath over the micropuncture wire.


Recommendations
 
Would this be coded as 36573 or 36556? One of girls feels it should be the first code but I am thinking that it should be the second... Thanks for your help



Procedures Performed


CENTRAL VENOUS CATHETER INSERTION


Indications

Acquired insufficiency of aortic valve [I35.1 (ICD-10-CM)]
Condition

Cardiac Output Condition HR BSA Systemic Arterial Hemoglobin K O2 Estimated O2
O2 REST 1.9 m2 8.9 g/dL 133 252.7
Implants

Name ID Temporary Type Supply
No information to display
Complications

Complications documented before study signed (8/23/2021 4:54 PM)

No complications were associated with this study.


Summary

Conclusion:
After informed consent was obtained the patient was prepped and draped in a sterile fashion. Ultrasound was used to identify the right internal jugular vein. Lidocaine was administered over the skin and subcutaneous tissue. Under direct ultrasound guidance percutaneous access was obtained with a micropuncture kit. I placed a 4 French sheath over the micropuncture wire.


Recommendations
A PICC has an entry site in the basilic or cephalic vein.
 
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