The following report below has been billed as cpt 36556, 77001-26, 76937-26; However Mediciad denied cpt 76937 w/ inappropriate dx code?? I was wondering what other code is to be used for this report? I dont think is V45.11? Thank you in advance...
History: 55-year-old male requiring short-term dialysis needs access.
Procedure: Consent for Shiley catheter placement was obtained. Patient was placed under fluoroscopic table and supine position. Technique was prepped and draped in sterile fashion. 1% lidocaine was used as prosthetic.
Under sonographic guidance using 17-gauge needle regular vein was accessed. Over the Amplatz wire of the dilatation 16 cm long 11.5 French nonthrombosis catheter was uneventfully place with the tip in the right atrium. It was secured to skin is a suture. Senescent was applied. The catheter was flushed with saline low dose heparin. There were no complications.
Impression: Uneventful sonographic and fluoroscopic guided placement of the right jugular vein 11.5 French 16 cm long bone tunnel dialysis catheter.
History: 55-year-old male requiring short-term dialysis needs access.
Procedure: Consent for Shiley catheter placement was obtained. Patient was placed under fluoroscopic table and supine position. Technique was prepped and draped in sterile fashion. 1% lidocaine was used as prosthetic.
Under sonographic guidance using 17-gauge needle regular vein was accessed. Over the Amplatz wire of the dilatation 16 cm long 11.5 French nonthrombosis catheter was uneventfully place with the tip in the right atrium. It was secured to skin is a suture. Senescent was applied. The catheter was flushed with saline low dose heparin. There were no complications.
Impression: Uneventful sonographic and fluoroscopic guided placement of the right jugular vein 11.5 French 16 cm long bone tunnel dialysis catheter.