iamlou
Networker
I am new at interventional radiology coding, and my mentor has had to take an unexpected leave, which leaves me to do it all on my own. Yikes!!!
Anyway,
I have this case I am trying to code, and have not done one like this before, so I am asking for help. Here is the scenario:
Via the right transfemoral approach a 4 French catheter was advanced to the aortic arch
without incident. Utilizing standard technique the right internal carotid
artery was selectively catheterized. Multiplanar filming of the right
internal carotid circulation was performed. The right internal carotid was
injected with cross compression of the left internal carotid artery was
performed. Catheter was then advanced into the right vertebral artery
without incident. Flow in this area was somewhat diminished. The 4 French
catheter was immediately withdrawn and placed in the subclavian artery.
Biplanar vertebral angiography was performed upon subclavian injection with
a blood pressure cuff about the right arm. The catheter was then advanced
to the left internal carotid artery. Multiplanar intracranial filming
performed. The catheter was then advanced to the left subclavian artery.
The left vertebral was not selectively catheterized. A lateral left
vertebral angiogram was performed with the blood pressure cuff about the
left arm.
How would you code this? The more I read it, the more confused I'm getting. Thank you for any and all the help you can give me!![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
I have this case I am trying to code, and have not done one like this before, so I am asking for help. Here is the scenario:
Via the right transfemoral approach a 4 French catheter was advanced to the aortic arch
without incident. Utilizing standard technique the right internal carotid
artery was selectively catheterized. Multiplanar filming of the right
internal carotid circulation was performed. The right internal carotid was
injected with cross compression of the left internal carotid artery was
performed. Catheter was then advanced into the right vertebral artery
without incident. Flow in this area was somewhat diminished. The 4 French
catheter was immediately withdrawn and placed in the subclavian artery.
Biplanar vertebral angiography was performed upon subclavian injection with
a blood pressure cuff about the right arm. The catheter was then advanced
to the left internal carotid artery. Multiplanar intracranial filming
performed. The catheter was then advanced to the left subclavian artery.
The left vertebral was not selectively catheterized. A lateral left
vertebral angiogram was performed with the blood pressure cuff about the
left arm.
How would you code this? The more I read it, the more confused I'm getting. Thank you for any and all the help you can give me!