My Dr. just started doing these and I have no earthly idea how to code. I don't know vascular families or anything. Here is the note:
75630,75716, 75774, 36140, 36245, 36246, 36247: Aorta, bilateral pelvic and lower extremity diagnostic angiogram: The right common femoral ARTERY was accessed using 19G needle and micropuncture kit. Access was estabilished using 6 F 11 cm sheath placed in the ARTERY. Using a flush catheter and Benson wire, access was gained to the abdominal aorta. A pelvic angiogram done from here showed normal flow bilateral common iliacs, internal iliacs and external iliac arteries. Using a ZIP glide wire and 5F angled glide catheter, the left common, external and finally the the left common femoral artery was accessed. Runoff angiograms done from here showed normal flow in the left superficial femoral and popliteal arteries. The wire was reintroduced and catheter was advanced into the left proximal popliteal artery. Angiogram done from here showed a patent tibioperoneal trunk with good three vessel flow delineating the left anterior tibial, posterior tibial and peroneal arteries. Runoff angiogram of the foot showed flow in the left lateral malleolar and dorsalis pedis arteries. The wire and catheter were removed. Angiograms done through the sheath showed normal flow in the right superficial femoral and popliteal arteries. There was a patent tibioperoneal trunk with good three vessel flow delineating the right anterior tibial, posterior tibial and peroneal arteries. Runoff angiogram of the foot showed flow in the right medial malleolar and dorsalis pedis arteries. The sheath was removed after right common femoral angiogram showed an inadequate puncture with a high bifurcation. The sheat seemed placed in the right proximal profunda femoris artery. Manual compression was held at the arteriotomy site for 15 minutes for hemostasis. Patient tolerated the procedure well and there were no complications. Blood loss: 15 cc. Fluoroscopy time: 10 minutes 08 seconds. Medications: Fentanyl 25 mcg, Versed 1mg. Omnipaque: 100mls.
He chose the codes but I have no idea if they are right. I have 36245, 36246, 36247, 75630 and 75716.
Can anyone help me?
75630,75716, 75774, 36140, 36245, 36246, 36247: Aorta, bilateral pelvic and lower extremity diagnostic angiogram: The right common femoral ARTERY was accessed using 19G needle and micropuncture kit. Access was estabilished using 6 F 11 cm sheath placed in the ARTERY. Using a flush catheter and Benson wire, access was gained to the abdominal aorta. A pelvic angiogram done from here showed normal flow bilateral common iliacs, internal iliacs and external iliac arteries. Using a ZIP glide wire and 5F angled glide catheter, the left common, external and finally the the left common femoral artery was accessed. Runoff angiograms done from here showed normal flow in the left superficial femoral and popliteal arteries. The wire was reintroduced and catheter was advanced into the left proximal popliteal artery. Angiogram done from here showed a patent tibioperoneal trunk with good three vessel flow delineating the left anterior tibial, posterior tibial and peroneal arteries. Runoff angiogram of the foot showed flow in the left lateral malleolar and dorsalis pedis arteries. The wire and catheter were removed. Angiograms done through the sheath showed normal flow in the right superficial femoral and popliteal arteries. There was a patent tibioperoneal trunk with good three vessel flow delineating the right anterior tibial, posterior tibial and peroneal arteries. Runoff angiogram of the foot showed flow in the right medial malleolar and dorsalis pedis arteries. The sheath was removed after right common femoral angiogram showed an inadequate puncture with a high bifurcation. The sheat seemed placed in the right proximal profunda femoris artery. Manual compression was held at the arteriotomy site for 15 minutes for hemostasis. Patient tolerated the procedure well and there were no complications. Blood loss: 15 cc. Fluoroscopy time: 10 minutes 08 seconds. Medications: Fentanyl 25 mcg, Versed 1mg. Omnipaque: 100mls.
He chose the codes but I have no idea if they are right. I have 36245, 36246, 36247, 75630 and 75716.
Can anyone help me?