Can I get some help with this chart? I am thinking 36200, 75716 because he did not advance the catheter past the aorta and he only documents the distal part of the abdominal aorta. Am I on the right track?
PROCEDURES
Right radial arterial access Catheter placed in the distal abdominal
aorta Distal abdominal aortogram with bilateral iliofemoral
angiography
INDICATION
Abnormal ABI, Peripheral artery disease, Abnormal CTA,
Procedure:
The right radial artery was accessed via the Seldinger
technique. A 6 French sheath was placed in the right radial artery.
2.5 mg of Verapamil, 800 mcg of nitroglycerin, 1mg Lidocaine and 5000
U Heparin were given through the arterial sheath. A PV multi curve
was placed in the distal abdominal aorta where distal abdominal
aortography was performed. Bilateral iliofemoral angiography was
performed. Following this the apparatus was removed the sheath was
removed and hemostasis achieved using TR banding patient was
transferred to the postop holding in stable condition
ANGIOGRAPHIC RESULTS
Distal abdominal aorta is patent
Right common iliac artery is ostially occluded and occluded
throughout its entire course as is the right external iliac artery.
There is reconstitution at the femoral head level via collaterals
which reconstitute the right common femoral artery. The mid to
distal right common femoral artery is patent branches into a profunda
femoris and proximal superficial femoral artery
The left common iliac artery is patent but has 30% stenosis. The
left internal iliac artery is large widely patent and then
collateralizes the distal left common femoral artery. The left
external iliac artery is occluded throughout its entire course as is
the proximal and mid left common femoral artery. The proximal left
profunda femoris and left superficial femoral arteries are patent
MPRESSION
Peripheral artery disease as described above
PLAN
1. Will refer to University vascular surgery for
consideration of aortobifem surgery
2. Avoidance of tobacco products
3. LDL less than 55 to achieve that high intensity statin
PROCEDURES
Right radial arterial access Catheter placed in the distal abdominal
aorta Distal abdominal aortogram with bilateral iliofemoral
angiography
INDICATION
Abnormal ABI, Peripheral artery disease, Abnormal CTA,
Procedure:
The right radial artery was accessed via the Seldinger
technique. A 6 French sheath was placed in the right radial artery.
2.5 mg of Verapamil, 800 mcg of nitroglycerin, 1mg Lidocaine and 5000
U Heparin were given through the arterial sheath. A PV multi curve
was placed in the distal abdominal aorta where distal abdominal
aortography was performed. Bilateral iliofemoral angiography was
performed. Following this the apparatus was removed the sheath was
removed and hemostasis achieved using TR banding patient was
transferred to the postop holding in stable condition
ANGIOGRAPHIC RESULTS
Distal abdominal aorta is patent
Right common iliac artery is ostially occluded and occluded
throughout its entire course as is the right external iliac artery.
There is reconstitution at the femoral head level via collaterals
which reconstitute the right common femoral artery. The mid to
distal right common femoral artery is patent branches into a profunda
femoris and proximal superficial femoral artery
The left common iliac artery is patent but has 30% stenosis. The
left internal iliac artery is large widely patent and then
collateralizes the distal left common femoral artery. The left
external iliac artery is occluded throughout its entire course as is
the proximal and mid left common femoral artery. The proximal left
profunda femoris and left superficial femoral arteries are patent
MPRESSION
Peripheral artery disease as described above
PLAN
1. Will refer to University vascular surgery for
consideration of aortobifem surgery
2. Avoidance of tobacco products
3. LDL less than 55 to achieve that high intensity statin