amym
Guest
Is it appropriate to code this as 37224?
PROTOCOL: After the patient was brought to the cath lab the right groin
was prepped and then a 5-French sheath inserted using an OmniFlush wire.
A glide wire was advanced passed into the left iliac artery and
subsequently the catheter was placed above the common femoral arteries.
Imaging revealed patency of the superficial femoral artery and then
subsequently the lesion was identified, it was a diffusely disease
superficial femoral artery but predominantly a 99% stenosis is present
in the distal superficial femoral artery at the adductor canal. This
was dealt with a 6-French angled destination sheath and then
subsequently a .014 quidewire was advanced and lesion was crossed and
was placed in position distally and then a 4 x 60 balloon was advanced
into position in the lesion and dilated multiple times and then
subsequently pulled back and dilated in the middle part of the
superficial femoral artery as well. Excellent result was present with
no residual narrowing. There was no dissection or thrombus in the
lesion or distal to vessels. At this point, the entire assembly was
removed.
IMPRESSION:
SUCCESSFUL PTA OF THE SUPERFICIAL FEMORAL ARTERY WITH USING
CONTRALATERAL APPROACH WITH 4 X 60 BALLOON WITH STENOSIS REDUCTION FROM
99% TO LESS THAN 20% RESIDUAL WITH EXCELLENT BRISK FLOW DISTALLY.
PROTOCOL: After the patient was brought to the cath lab the right groin
was prepped and then a 5-French sheath inserted using an OmniFlush wire.
A glide wire was advanced passed into the left iliac artery and
subsequently the catheter was placed above the common femoral arteries.
Imaging revealed patency of the superficial femoral artery and then
subsequently the lesion was identified, it was a diffusely disease
superficial femoral artery but predominantly a 99% stenosis is present
in the distal superficial femoral artery at the adductor canal. This
was dealt with a 6-French angled destination sheath and then
subsequently a .014 quidewire was advanced and lesion was crossed and
was placed in position distally and then a 4 x 60 balloon was advanced
into position in the lesion and dilated multiple times and then
subsequently pulled back and dilated in the middle part of the
superficial femoral artery as well. Excellent result was present with
no residual narrowing. There was no dissection or thrombus in the
lesion or distal to vessels. At this point, the entire assembly was
removed.
IMPRESSION:
SUCCESSFUL PTA OF THE SUPERFICIAL FEMORAL ARTERY WITH USING
CONTRALATERAL APPROACH WITH 4 X 60 BALLOON WITH STENOSIS REDUCTION FROM
99% TO LESS THAN 20% RESIDUAL WITH EXCELLENT BRISK FLOW DISTALLY.
