Vol. III represents the hospitals coding for inpatient, facility fee services. Basically, those only carry weight in calculating the DRG.
Vol. I & II represent the "medical necessity", or reason for an encounter, illness, injury or other diagnoses.
For any vascular access device, I'm prone to use V58.81 primary, the reason(s) for the insertion (if so stated) as secondary and the appropriate CPT code to describe the Anesthesiologists' services.
It sounds like you're coding the pro fees for anesthesia, in which case you'll code the Vol. I ICD for the DX and CPT for the service.
Hope this is of some assistance.
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