AAPC - Back to school
Results 1 to 3 of 3

Thread: Cv Catheter Inject/check, Tip

  1. #1

    Default Cv Catheter Inject/check, Tip

    AAPC: Back to School
    can i use these for the below report please suggest me

    Patient is a 63-year-old woman with history of breast cancer
    status post placement of right IJ chest wall port on 7/20/08.
    Infusion therapy unable to access port. Request for evaluation


    The risks, benefits and alternatives to the procedure were
    explained to the patient. The patient's son was present during
    the consent process. The patient agreed and signed informed
    consent. The patient was placed on the angiography table in the
    supine position. Fluoroscopic evaluation of the chest revealed
    the port reservoir to be malpositioned and flipped. Catheter tip
    is seen overlying the superior vena cava with catheter extending
    high into the right internal jugular vein. Utilizing manual
    manipulation the port was repositioned appropriately in the
    upright position. During this maneuver however the catheter
    component became looped within the subcutaneous tissues.
    Additional manipulations was performed with an loop largely being
    corrected but residual curved noted in the subcutaneous tissues.
    Catheter remained high into the internal jugular vein with tip
    overlying the superior vena cava. The reservoir was then accessed
    using sterile technique. There was only poor aspiration of blood
    however instillation of contrast material demonstrated wide
    patency of the port reservoir and catheter with flow of contrast
    seen into the superior vena cava and right atrium. There was no
    extravasation of contrast material. It was decided to discontinue
    additional manipulations at this time. The port reservoir was
    left accessed for infusion therapy. The infusion therapy
    department was contacted regarding the results of this procedure.


    Patient presented with malpositioning of port reservoir. Port
    reservoir was readjusted into appropriate upright position.
    During this maneuver however catheter portion of the port became
    somewhat coiled in the subcutaneous tissues. Port patency however
    was maintained with tip over the superior vena cava.

    Plan: Patient to have chemotherapy today. Patient to return in
    one week for chemotherapy. If continued difficulty with
    aspiration of blood remains attempts at repositioning catheter
    may be warranted. If this fails to resolve the problem placement
    of alternate port via the left IJ may

  2. #2


    The catheter has flipped. There is lot of maneuvering. So, can give insertion codes, afresh.

  3. #3


    36597, 36598-51 look correct to me. The catheter wasn't removed and replaced, just moved around and then injected.

Similar Threads

  1. E/M w/ inject
    By PLAIDMAN in forum Orthopaedics
    Replies: 1
    Last Post: 08-20-2015, 07:10 PM
  2. Port-catheter tip replaced...cpt?
    By jbtrueba in forum Internal Medicine
    Replies: 1
    Last Post: 05-26-2009, 12:49 AM
  3. Cpt? - port-a-catheter tip replaced
    By jbtrueba in forum General Surgery
    Replies: 0
    Last Post: 05-13-2009, 12:12 PM
  4. catheter check
    By Shirleybala in forum Interventional Radiology
    Replies: 1
    Last Post: 09-26-2008, 12:50 PM
  5. Cv Catheter Inject
    By Shirleybala in forum Interventional Radiology
    Replies: 1
    Last Post: 09-11-2008, 06:34 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.