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Use of snare retrieval system with open cut down of common femoral vein

Physicians performed a removal of a right internal jugular Trialysis catheter and in doing so the Trialysis catheter moved into the SVC. Due to the size of this catheter they had to do a common femoral cut down to snare the catheter. What code do I use for retrieval 37197?? which is for percutaneous retrieval…..Need help please.

Thanks,

Medical Billing and Coding Forum

unsuccessful Endo vein harvest

Hai,

need your help…

For CABG physician tried to harvest vein using endoscopy…but its not successfully completed,

(right leg was explored endoscopically but no usable vein was identified)…

for this can i code 33508-53…..:confused:

CABG completed successfully using 2 arterial grafts (33534)

Medical Billing and Coding Forum

persistent fetal umbilical vein in pregnancy

How would I code "fetal persistent umbilical vein"? I’m not sure if this is a complication or more of an observation. I’ve tried researching and can’t seem to find an answer (if this is abnormal). Not listed in coding book Index as such.

Pt in third trimester is in for routine OB visit and ultrasound review.

Assessment/Plan:
1. Fetal persistent right umbilical vein — limited fetal echo. Consideration of neonatal echo is recommended.
2. AGA — EFW 22% at 35 weeks.

BTW, a co-worker tells me not to code fetal conditions UNLESS they affect management of mother’s care (e.g., further workup is planned, which is not the case here).

So this is a two-part question: Do I code it, and if yes, what code do I use?

Thank you! I appreciate any suggestions.

Medical Billing and Coding | AAPC Forum