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Wiki Subclavian venography on left side and pacemaker insertion on right side

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tlm5506

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Hello.
This one has me stumped.
My doctor attempted to insert a dual chamber pacemaker on the patient's left side but the leads would not advance. He did a venography and found venous anomalies on the left side. He then placed the pacemaker on the right side successfully. I know the CPT code for the pacemaker insertion is 33208, but I don't know the code for the venography, or even if I can bill for it. He did not do venography on the right side; only the left side to find out why the leads would not advance. He also used fluoroscopy. I'm not sure if I can code for the fluoroscopy also.
Any help would be appreciated. Thanks.
 
Usually the Venography is bundled with the 33208. I would use i think 75820? (in that code range). ONLY if there was a documented Anomaly of the Venous System. Then you would bill with a -59 on the Venography because its a diffrernt condition. Subclavian, if im not mistaken is considered a extremity Vein.

Hope this Helps
 
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