,
,
, The patient is a 67-year-old gentleman with metastatic colon cancer
recently operated on for a brain metastasis, now for placement of an
Infuse-A-Port for continued chemotherapy. The left subclavian vein was
located with a needle and a guide wire placed. This was confirmed to be in
the proper position fluoroscopically. A transverse incision was made just
inferior to this and a subcutaneous pocket created just inferior to this. After
tunneling, the introducer was placed over the guide wire and the power port
line was placed with the introducer and the introducer was peeled away.
The tip was placed in the appropriate position under fluoroscopic guidance
and the catheter trimmed to the appropriate length and secured to the
power port device. The locking mechanism was fully engaged. The port
was placed in the subcutaneous pocket and everything sat very nicely
fluoroscopically. It was secured to the underlying soft tissue - C. 36561,
77001-26
Question 8
A CT scan identified moderate-sized right pleural effusion in a 50 year-old
male. This was estimated to be 800 cc in size and had an appearance of
fluid on the CT Scan. A needle is used to puncture through the chest
tissues and enter the pleural cavity to insert a guidewire under ultrasound
guidance. A pigtail catheter is then inserted at the length of the guidewire
and secured by stitches. The catheter will remain in the chest and is
connected to drainage system to drain the accumulated fluid. The CPT®
code is:
A. 32557
B. 32555
C. 32556
D. 32550 - A. 32557
The patient is a 59-year-old white male who underwent carotid
endarterectomy for symptomatic left carotid stenosis a year ago. A carotid
CT angiogram showed a recurrent 90% left internal carotid artery stenosis
extending into the common carotid artery. He is taken to the operating
room for re-do left carotid endarterectomy. The left neck was prepped and
the previous incision was carefully reopened. Using sharp dissection, the
common carotid artery and its branches were dissected free. The patient
was systematically heparinized and after a few minutes, clamps were
applied to the common carotid artery and its branches. A longitudinal
arteriotomy was carried out with findings of extensive layering of intimal
,
, The patient is a 67-year-old gentleman with metastatic colon cancer
recently operated on for a brain metastasis, now for placement of an
Infuse-A-Port for continued chemotherapy. The left subclavian vein was
located with a needle and a guide wire placed. This was confirmed to be in
the proper position fluoroscopically. A transverse incision was made just
inferior to this and a subcutaneous pocket created just inferior to this. After
tunneling, the introducer was placed over the guide wire and the power port
line was placed with the introducer and the introducer was peeled away.
The tip was placed in the appropriate position under fluoroscopic guidance
and the catheter trimmed to the appropriate length and secured to the
power port device. The locking mechanism was fully engaged. The port
was placed in the subcutaneous pocket and everything sat very nicely
fluoroscopically. It was secured to the underlying soft tissue - C. 36561,
77001-26
Question 8
A CT scan identified moderate-sized right pleural effusion in a 50 year-old
male. This was estimated to be 800 cc in size and had an appearance of
fluid on the CT Scan. A needle is used to puncture through the chest
tissues and enter the pleural cavity to insert a guidewire under ultrasound
guidance. A pigtail catheter is then inserted at the length of the guidewire
and secured by stitches. The catheter will remain in the chest and is
connected to drainage system to drain the accumulated fluid. The CPT®
code is:
A. 32557
B. 32555
C. 32556
D. 32550 - A. 32557
The patient is a 59-year-old white male who underwent carotid
endarterectomy for symptomatic left carotid stenosis a year ago. A carotid
CT angiogram showed a recurrent 90% left internal carotid artery stenosis
extending into the common carotid artery. He is taken to the operating
room for re-do left carotid endarterectomy. The left neck was prepped and
the previous incision was carefully reopened. Using sharp dissection, the
common carotid artery and its branches were dissected free. The patient
was systematically heparinized and after a few minutes, clamps were
applied to the common carotid artery and its branches. A longitudinal
arteriotomy was carried out with findings of extensive layering of intimal
