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Porth a cath-36561-or 36571 - The patient was bought to operating

  1. #1
    Location
    NEW ORLEANS
    Posts
    956
    Default Porth a cath-36561-or 36571 - The patient was bought to operating
    Medical Coding Books
    We have 2 coders conflicting on what code to choose from
    Can anyone help ?

    Operation : Port a cath insertion via cephalic cut down

    Procedure : The patient was bought to operating room and placed on table in a supine postion . Under adequate Iv sedation, patient was prepped and draped around left chest in usual sterile fashion. A small incision was made in the deltoid pectoral grrove. It was deepeened to expose the cephalic vein. Proximal and distal control was obtained. A small venotomy was perormed. Catheter was insertedthrough the cavoatrial junction verified via fluoroscopy free techinique . It was attached to a port, which was flushed and attached to the patient chest wall. Hemostasis was obtained with Electocatery. . The wound was closed in layers with acbsorable sutures.

    i coder wants to code other coder

    36561 ???? or 36571
    c1788 ???? c1788
    77001-tc??? o 77001-tc
    my question who is right , and can you bill fluo, when it says verfied fluro free technique . thanks tj

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    I am leaning towards 36571

  3. #3
    Location
    NEW ORLEANS
    Posts
    956
    Default
    THANKS MARY ,and I query the doc, it was fluro free -meaning no fluro was done , 36571 , thats what i coded .

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