• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Placement of Quniton Catheter

Create Wiki
mmelcam

mmelcam

Expert
Messages
262
Location
St. Louis, Missouri
Best answers
0
Can someone please help me out with this. I get really confused when it comes to venous catheterization vs hemodialysis access. Is there an easy way to figure these out??? Operative note reads...

Preoperative diagnosis: Renal Failure
Postoperative diagnosis: Renal Failure
Procedure: Placement of a Quinton Catheter in the right IJ

Description of Procedure: The patient was placed in a recumbent position. The patient was sterilely prepped and draped of the patient's right neck, we then accessed the internal jugular vein using a 22-guage needle and then adjacent to this, placed a large bore needle 18-gauge needle and passing wire through this and then dilated over the wire. Then placed a Quinton catheter over the wire. We then aspiated both ports, flushed with normal saline, and then sutured in place. Dressings were Applied. The patient tolerated the procedure well.

I am sure I am making this harder than it is. I would appreciate any help I can get. Thanks.
 
Actually code 36800 is for a cannula which is usually placed in the forearm. After reading the OP report, the correct code set you would be looking for is the Central Venous catheter codes 36555-36561 because the access site is the internal Jugular vein
 
You must log in or register to reply here.
Top