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CPT FOR VENOGRAM DURING PORT PLACEMENT DUE TO POSS OBSTRUCTION

Charlene Posted Thu 25th of June, 2015 14:11:53 PM

DURING PORT PLACEMENT BY SUBCLAVIAN APPROACH, THE NEEDLE/WIRE WOULD NOT PASS INTO SUPERIOR VENA CAVA. A VENOGRAM WAS SHOWED A PATENT VEIN.
I'M LOOKING AT 78445 AND 78457 BUT CANNOT TELL THE DIFFERENCE. MAYBE NEITHER IS APPROPRIATE?

SuperCoder Answered Fri 26th of June, 2015 06:11:58 AM

Well, for CPT 75827 is appropriate for the venography SVC and use CPT 36010 (introduction of catheter, superior or inferior vena cava) along with it. Hope it help!

Charlene Posted Fri 26th of June, 2015 09:00:20 AM

Actually the subclavian was troublesome to access and evaluated by venogram. After this study was performed and no abnormality found, the procedure was able to be accomplished. Would 75827 be correct?

SuperCoder Answered Mon 29th of June, 2015 06:23:10 AM

It is not necessary that after the procedure you find some abnormality then only you can code that procedure. If everything is fine then also you can code that diagnostic procedure. So, CPT 75827 is appropriate for the venography SVC. Hope it helps!

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