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Hepatic venography

  1. Default Hepatic venography
    Medical Coding Books
    In this transcatheter biopsy of liver shoud we have to code separately for hepatic venography 75889

    On the ultrasound guidance using micropuncture kit access was
    gained into the right internal jugular vein. A 9-French sheath
    was placed. Pressure within the right atrium was -1 to -2 mmHg.
    Using a combination of a glide wire and a 5-French Cobra glide
    catheter access was gained into the right hepatic vein. Position
    of the catheter was confirmed by venography. Over the Amplatz
    wire exchange was made for a 5-mm occlusion balloon. The balloon
    was inflated occluding the blood flow in the right hepatic vein.
    Right hepatic vein wedge pressure was 2 mmHg. The balloon was
    deflated, and the catheter was repositioned into the middle
    hepatic artery. A occlusion balloon was again inflated. Middle
    hepatic vein wedge pressure was 3 mmHg.

    Biopsy needle delivery sheath was then placed over the Amplatz
    wire into the middle hepatic vein. 20-gauge core needle biopsy was
    then performed. The specimens were sent to pathology.

  2. Default
    Venography may not be billed separately;
    Ballon catheter techniques do not deploy venography, mostly;
    If has been done , it is for extra confirmation and the payor may or may not consider;

  3. Default
    You can't code a venogram just for catheter positioning and there's no interpretation of a venogram, so I'd say no.

    Diane Huston, CPC,RCC

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