37204
36215X2
75605-26
75705-26
75894-26
I have the above set of codes for the following procedure.Can anyone pls confirm?
Procedure: Right Bronchial artery embolization.
Technique: A 4-French introducer was placed into the right common
femoral artery under fluoroscopy guidance and exchanged for a
5-French introducer sheath over the wire. 5-French pigtail
catheter was placed into the ascending aorta. Nonselective
angiography of the aorta was performed demonstrating positions of
the bronchial arteries.
Using a combination of the 5-French spinal catheter and a
Glidewire the right intercostal bronchial trunk was accessed.
Angiography in this catheter position demonstrated markedly
abnormal vasculature involving the right lung in the distribution
of the right bronchial artery. No definite spinal artery was
demonstrated although a questionable tiny arterial branch was seen
in the distribution of the superior placed intercostal artery on
the right.
The right superior intercostal artery was engaged with a
combination of a 5-French spinal catheter and a 3-French
microcatheter. Two 3-mm close were deposited in this vessel
causing its occlusion for the purpose of protection of spinal
artery in this distribution during embolization of the bronchial
artery.
The 3-French coaxial microcatheter was then engaged into the right
bronchial artery. Under fluoroscopy guidance two vials of
Embosphere is 500 to 700-mu were carefully instilled into the
right bronchial artery until complete hemostasis was achieved. No
reflux was observed.
The catheter and sheath were removed, and hemostasis achieved by
manual compression.
Conclusion: Right bronchial artery angiography demonstrated
markedly abnormal vessels throughout the right lung. Selective
right bronchial artery embolization until hemostasis was
successfully performed.
36215X2
75605-26
75705-26
75894-26
I have the above set of codes for the following procedure.Can anyone pls confirm?
Procedure: Right Bronchial artery embolization.
Technique: A 4-French introducer was placed into the right common
femoral artery under fluoroscopy guidance and exchanged for a
5-French introducer sheath over the wire. 5-French pigtail
catheter was placed into the ascending aorta. Nonselective
angiography of the aorta was performed demonstrating positions of
the bronchial arteries.
Using a combination of the 5-French spinal catheter and a
Glidewire the right intercostal bronchial trunk was accessed.
Angiography in this catheter position demonstrated markedly
abnormal vasculature involving the right lung in the distribution
of the right bronchial artery. No definite spinal artery was
demonstrated although a questionable tiny arterial branch was seen
in the distribution of the superior placed intercostal artery on
the right.
The right superior intercostal artery was engaged with a
combination of a 5-French spinal catheter and a 3-French
microcatheter. Two 3-mm close were deposited in this vessel
causing its occlusion for the purpose of protection of spinal
artery in this distribution during embolization of the bronchial
artery.
The 3-French coaxial microcatheter was then engaged into the right
bronchial artery. Under fluoroscopy guidance two vials of
Embosphere is 500 to 700-mu were carefully instilled into the
right bronchial artery until complete hemostasis was achieved. No
reflux was observed.
The catheter and sheath were removed, and hemostasis achieved by
manual compression.
Conclusion: Right bronchial artery angiography demonstrated
markedly abnormal vessels throughout the right lung. Selective
right bronchial artery embolization until hemostasis was
successfully performed.