stgregor
Networker
I have a physician who wishes to code for a venous sheath insertion during a cardiac cath. Apparently this is considered a central line placement. Can this be separately coded during a cardiac cath? He has dictated a separate report for the CVP introducer sheath, as below.
PROCEDURE: Introduction of an Arrow CVP introducer sheath, right internal jugular vein.
DESCRIPTION OF PROCEDURE: The right neck was prepped and draped in the usual sterile fashion. The supraclaviculal right internal jugular vein was accessed percutaneously with a Seldinger needle. Through this, an 9 French Arrow introducer sheath was placed into the right internal jugular vein over a J-tip guidewire. Position was confirmed with follow-up chest x-ray.
CONCLUSIONS:
1. Successful insertion of a central line into the right internal jugular vein.
2. No complications.
PROCEDURE: Introduction of an Arrow CVP introducer sheath, right internal jugular vein.
DESCRIPTION OF PROCEDURE: The right neck was prepped and draped in the usual sterile fashion. The supraclaviculal right internal jugular vein was accessed percutaneously with a Seldinger needle. Through this, an 9 French Arrow introducer sheath was placed into the right internal jugular vein over a J-tip guidewire. Position was confirmed with follow-up chest x-ray.
CONCLUSIONS:
1. Successful insertion of a central line into the right internal jugular vein.
2. No complications.