I can't tell which code to use for a central venous line. Here's the OP Note. I keep leaning towards 36568 bc it says 'punctured' so non tunneled? Yikes!!!!! Thoughts?
'After adequate sedation was achieved, the left chest was prepped and draped. The subclavian vein was accessed. Percutaneous puncture and guide wire was passed distally under fluoroscopy. The wire was positioned in the SVC. Dilator was inserted then triple lumen central catherter was inserted over the wire. The wire was removed. The catheter was flushed and aspirated nicely. The tip was positioned in the SVC and the catheter was secured with Nurulon.'
'After adequate sedation was achieved, the left chest was prepped and draped. The subclavian vein was accessed. Percutaneous puncture and guide wire was passed distally under fluoroscopy. The wire was positioned in the SVC. Dilator was inserted then triple lumen central catherter was inserted over the wire. The wire was removed. The catheter was flushed and aspirated nicely. The tip was positioned in the SVC and the catheter was secured with Nurulon.'