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Thread: Need expert opinion on venogram

  1. #1

    Default Need expert opinion on venogram

    AAPC: Back to School
    My new EP doc would like to bill for axillary vein venogram during an ICD implantation. Can this be separately billed? Here is part of the report. Are there rules or polices that if a lesion or stenosis is found, does it have to be treated or addressed?

    Your help is appreciated.

    Thank you,
    Dolores, CCC CPC

    A left subclavian venogram was performed and using this as a guide,
    the left axillary venogram was cannulated using the modified
    Seldinger technique. Considerable difficulty was encountered in
    advancing a wire. A 6-French dilator was then used to guide the
    Slime/Terumo wire across several areas of moderate to severestenosis in the left brachiocephalic vein. Subsequently, an
    8-French long sheath was advanced over this wire into the right
    atrium through which a St. Jude Medical model 7122, 60-cm active
    fixation lead, serial number AHG017965 was advanced to the right
    ventricular apex and secured under fluoroscopic guidance.

  2. #2
    Join Date
    Apr 2007


    It is not billable if used as a guide, is what I have always known it to be.

    Kris Felty, CPC, CCC

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