Please help... am i coding this right?
Under sterile aseptic technique, using real-time ultrasound guidance, 22-gauge Chiba needle introduced into the right internal jugular vein. 5 French catheter placed. Guidewire could not be passed into the central circulation.
Contrast was injected and a venogram was performed.
Under sterile aseptic technique, using real-time ultrasound guidance, 22-gauge needle introduced into the left internal jugular vein. Guidewire could not be passed into the central circulation.
5 French catheter was placed and a diagnostic venogram was performed.
FINDINGS:
Right jugular venogram shows occlusion of the jugular-subclavian confluence and upper portion of the superior vena cava.
Collaterals are seen to drain along the posterior mediastinum.
Left jugular venogram shows occlusion of the jugular-subclavian confluence, with multiple collaterals draining toward the posterior mediastinum.
No opacification of superior vena cava which is presumably chronically occluded.
IMPRESSION:
Evidence of chronic bilateral SVC occlusion.
Port placement is not possible from either of the internal jugular veins.
I got:
36005-50
75827
Thank you!!!
Under sterile aseptic technique, using real-time ultrasound guidance, 22-gauge Chiba needle introduced into the right internal jugular vein. 5 French catheter placed. Guidewire could not be passed into the central circulation.
Contrast was injected and a venogram was performed.
Under sterile aseptic technique, using real-time ultrasound guidance, 22-gauge needle introduced into the left internal jugular vein. Guidewire could not be passed into the central circulation.
5 French catheter was placed and a diagnostic venogram was performed.
FINDINGS:
Right jugular venogram shows occlusion of the jugular-subclavian confluence and upper portion of the superior vena cava.
Collaterals are seen to drain along the posterior mediastinum.
Left jugular venogram shows occlusion of the jugular-subclavian confluence, with multiple collaterals draining toward the posterior mediastinum.
No opacification of superior vena cava which is presumably chronically occluded.
IMPRESSION:
Evidence of chronic bilateral SVC occlusion.
Port placement is not possible from either of the internal jugular veins.
I got:
36005-50
75827
Thank you!!!