tbartram
Contributor
Hello. I am kind of new to vascular coding but am determined to learn it.
I do have a question on the procedure noted below.
Ultrasound guidance was used to gain access to the right common femoral artery using needle puncture and seldinger technique. A 5-french sheath was placed. A diagnostic catheter was advanced to the aortic bifurcation and oblique images of the left iliofemoral system were then obtained. The catheter was then advanced into teh left common femoral artery and left lower extremity angiography was performed. There seemed to be obvious thrombus within the superficial femoral artery as well as some distal tibial disease that may also represent a small level of embolization. The sheath was then placed over the aortic bifurcation such that the distal tip way in the proximal superficial femoral artery. An infusion thrombolytic wire was then advanced such that the infusion ports lay encompassing the area of thrombosis/embolism. Thrombolytic agent will be infused through the infusion wire overnight while a small amount of heparinized saline will be infused through the sheath. Sterile dressings were applied and the patient taken to the recovery room in stable condition.
Any suggestions on the codes for this procedure is greatly appreciated. Also, any suggestions for study helps to get more familiar with vascular would be greatly appreciated.
Thank you
I do have a question on the procedure noted below.
Ultrasound guidance was used to gain access to the right common femoral artery using needle puncture and seldinger technique. A 5-french sheath was placed. A diagnostic catheter was advanced to the aortic bifurcation and oblique images of the left iliofemoral system were then obtained. The catheter was then advanced into teh left common femoral artery and left lower extremity angiography was performed. There seemed to be obvious thrombus within the superficial femoral artery as well as some distal tibial disease that may also represent a small level of embolization. The sheath was then placed over the aortic bifurcation such that the distal tip way in the proximal superficial femoral artery. An infusion thrombolytic wire was then advanced such that the infusion ports lay encompassing the area of thrombosis/embolism. Thrombolytic agent will be infused through the infusion wire overnight while a small amount of heparinized saline will be infused through the sheath. Sterile dressings were applied and the patient taken to the recovery room in stable condition.
Any suggestions on the codes for this procedure is greatly appreciated. Also, any suggestions for study helps to get more familiar with vascular would be greatly appreciated.
Thank you
