The patient is a 55 year old female diagnosed with carcinoma of the breast. She requires a catheter for chemotherapy.
What is the CPT code for this case?
After reading provided case documentation, provide CPT codethat w ould be assigned to this case/operative report. No anesthesia codes should be assigned.
Remember that suturing closed a surgical incision (cut created by the surgeon) is included in CPT surgical code. Integumentary suture repair codes are for injuries not surgical incision closure.
Remember these cases are related to cardiovascular coding so all of your codes should come from CV subsection of surgical section of CPT.
Procedure Report
Date 09/07/20xx
Preoperative Carcinoma of left breast
Diagnosis
Postoperative Same Diagnosis
Procedure Insertion of Groshong catheter Diagnosis
Estimated Blood Minimal Loss
Procedure The patient is a 55 year old female diagnosed with carcinoma of the breast. She requires a catheter for chemotherapy.
The patient was prepped and draped with the right neck and chest in the operative field, in deep Trendelenburg, with a rolled sheet between the shoulder blades. One percent lidocaine was used for the skin incisions. Percutaneous access to the right subclavian was obtained with a needle, and a wire was introduced. The needle was removed, and an introducer and sheath were passed over the wire. The wire and introducer were removed. Then a Groshong 8 French tunneled catheter was introduced through the peel-away sheath and allowed to lie at the junction of the right atrium and superior vena cava. The sheath was then peeled away. A tunnel was developed in the anterior chest down to the level of the midbreast to allow the Vitacuff and 5-0 cuff to lie subcutaneously. The catheter was irrigated with heparinized saline, and it had been soaked in chloromycetin solution prior to the event. It was sutured in place with 4-0 nylon. The patient tolerated the procedure well.
HINT: What is a Groshong catheter? This can help you arrive at the correct code!
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