amym
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Is it appropriate to bill this as 37224-52 or it gets a completely new code?
Procedure:
1. Peripheral angiogram, selective iliac angiography and
superficial femoral angiography with runoff.
2. Intermittent percutaneous transluminal coronary angioplasty of
superficial femoral artery region.
Procedure Description: The patient was brought to the radiology
suite per protocol. The patient was anesthetized locally with
lidocaine and systematically with fentanyl and Versed. Access was
obtained using 5 French micropuncture. A 5-French sheath was
placed, through which a 5-French Omniflush catheter was placed and
parked in the distal aorta and iliac angiogram with runoff was
performed bilaterally. This revealed distal superficial femoral
artery 100% chronic total occlusion. By using an angled glide, the
iliac was crossed in an up and over fashion, and a 7-French
destination sheath was placed. The distal end of the destination
sheath was in the left common femoral artery, an interventional
studies done through it.
Intervention Details: In the interventional portion, with a glide
catheter and an angled glidewire, the region was attempted to be
crossed, which ended up with suboptimal results. Several wires were
used, including over four wires. However, the region was not
successfully crossed, and the wire repeatedly went subintimal.
After multiple attempts at crossing, the patient's procedure results
were suboptimal.
Complications: None.
Findings: The patient had an arteriovenous fistula noted at the end
of the case, and the procedure was abandoned.
Conclusion: Attempted percutaneous transluminal angioplasty of the
100% chronic occlusion of the left distal superior femoral artery
with suboptimal results.
Procedure:
1. Peripheral angiogram, selective iliac angiography and
superficial femoral angiography with runoff.
2. Intermittent percutaneous transluminal coronary angioplasty of
superficial femoral artery region.
Procedure Description: The patient was brought to the radiology
suite per protocol. The patient was anesthetized locally with
lidocaine and systematically with fentanyl and Versed. Access was
obtained using 5 French micropuncture. A 5-French sheath was
placed, through which a 5-French Omniflush catheter was placed and
parked in the distal aorta and iliac angiogram with runoff was
performed bilaterally. This revealed distal superficial femoral
artery 100% chronic total occlusion. By using an angled glide, the
iliac was crossed in an up and over fashion, and a 7-French
destination sheath was placed. The distal end of the destination
sheath was in the left common femoral artery, an interventional
studies done through it.
Intervention Details: In the interventional portion, with a glide
catheter and an angled glidewire, the region was attempted to be
crossed, which ended up with suboptimal results. Several wires were
used, including over four wires. However, the region was not
successfully crossed, and the wire repeatedly went subintimal.
After multiple attempts at crossing, the patient's procedure results
were suboptimal.
Complications: None.
Findings: The patient had an arteriovenous fistula noted at the end
of the case, and the procedure was abandoned.
Conclusion: Attempted percutaneous transluminal angioplasty of the
100% chronic occlusion of the left distal superior femoral artery
with suboptimal results.