deeva456
Expert
Hello.
I need some assistance coding for Aptus Heli-Fx EndoAnchor System. Has anyone billed for this procedure? I "googled" this procedure but came up empty with a CPT code.
I appreciate your feedback,Thx!!
Dolores
Next, left common femoral artery was punctured with arthrotomy needle. The
puncture site was predilated initially with a 10-French followed by a
12-French dilator. Finally, a 16-French sheath was placed under fluoroscopic
guidance and positioned at the abdominal aorta. Pigtail catheter was advanced
through the right common femoral artery access and positioned just above the
renal arteries. Abdominal aortogram was obtained which identified a
significant endoleak at the proximal fixation zone. Next, using an Amplatz
wire as a guide, Aptus Heli-Fx EndoAncor System was advanced into the
abdominal aorta and positioned at the proximal fixation of the Gore Excluder
stent graft. A total of 6 screws were deployed at 1, 3 and 5 position and at
11, 9 and 7 position. Completion aortogram was obtained which showed
resolution of previously seen endoleak. Multiple projections were obtained,
both at 45 degrees RAO and LAO. Next, sheath was removed from the left
common femoral artery and pursestring suture was tied. Additional 5-0 Prolene
sutures were used to close the common femoral artery on the left. Once area
was completely hemostatic, it was irrigated and closed in layered fashion. I
used multiple layers of 3-0 Vicryl to approximate the deep tissue, followed by
4-0 Monocryl subcuticular closure. Dermabond was applied to the skin. The
right common femoral artery sheath was removed once the ACT was within the
acceptable range. Throughout the procedure, the patient received a total of
12,000 units of heparin. Initially patient received 5000 units of heparin
immediately following placement of the bilateral sheaths. Additional 5000
units were given when ACT came back subtherapeutic and then 2000 units were
given 1 hour later. The patient tolerated procedure well. There were no
complications. Vascular exam remained unchanged at bilateral DP/PT.
I need some assistance coding for Aptus Heli-Fx EndoAnchor System. Has anyone billed for this procedure? I "googled" this procedure but came up empty with a CPT code.
I appreciate your feedback,Thx!!
Dolores
Next, left common femoral artery was punctured with arthrotomy needle. The
puncture site was predilated initially with a 10-French followed by a
12-French dilator. Finally, a 16-French sheath was placed under fluoroscopic
guidance and positioned at the abdominal aorta. Pigtail catheter was advanced
through the right common femoral artery access and positioned just above the
renal arteries. Abdominal aortogram was obtained which identified a
significant endoleak at the proximal fixation zone. Next, using an Amplatz
wire as a guide, Aptus Heli-Fx EndoAncor System was advanced into the
abdominal aorta and positioned at the proximal fixation of the Gore Excluder
stent graft. A total of 6 screws were deployed at 1, 3 and 5 position and at
11, 9 and 7 position. Completion aortogram was obtained which showed
resolution of previously seen endoleak. Multiple projections were obtained,
both at 45 degrees RAO and LAO. Next, sheath was removed from the left
common femoral artery and pursestring suture was tied. Additional 5-0 Prolene
sutures were used to close the common femoral artery on the left. Once area
was completely hemostatic, it was irrigated and closed in layered fashion. I
used multiple layers of 3-0 Vicryl to approximate the deep tissue, followed by
4-0 Monocryl subcuticular closure. Dermabond was applied to the skin. The
right common femoral artery sheath was removed once the ACT was within the
acceptable range. Throughout the procedure, the patient received a total of
12,000 units of heparin. Initially patient received 5000 units of heparin
immediately following placement of the bilateral sheaths. Additional 5000
units were given when ACT came back subtherapeutic and then 2000 units were
given 1 hour later. The patient tolerated procedure well. There were no
complications. Vascular exam remained unchanged at bilateral DP/PT.