Picc

Shirleybala

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Procedure and findings: After obtaining informed consent, the
patient was placed supine on the fluoroscopic table and the right
arm was prepped and draped in a sterile fashion. Ultrasound
imaging of the upper arm demonstrated patency of the right basilic
and brachial veins. The brachial vein was then accessed above the
elbow using a 21 gauge micropuncture needle. A 0.0018 inch
guidewire was advanced through the needle and into the vein. The
needle was removed and exchanged for a peel-away sheath. A PICC
line was cut to 20 cm length, advanced through the peel-away
sheath and positioned with the tip at the junction of the superior
vena cava and right atrium. The peel away sheath was then removed.
The catheter was sutured into place using 2 4-0 Ethilon sutures.
Each catheter port was aspirated and flushed with heparinized
saline solution. A sterile dressing was applied. A supine
radiograph of the chest was performed demonstrating distal
catheter tip overlying the junction of the superior vena cava and
right atrium.

CPT CODES:
36571 OR 36569

Thanks
Shirley
 

meenal

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Columbus, Ohio
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The ports mentioned in this report are the openings of the catheter's (PICC line) through which the drug will be administered manually at fixed times.
The 36571 would be used only when there is mention of the port being guided and sutured under the skin. A port for 36571 is an extra box placed under the skin through which the catheter is wired. The port for 36571 is where the medication is stored to be delivered at fixed intervals into the blood stream.
 
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