KQuinones0111
Contributor
Hi, I want to make sure that I am coding for Lower Extremity Cath Placement and IVUS correctly. If someone could please look over these and let me know if I am coding something incorrectly.
Patient was prepped and draped in sterile fashion after informed consent was obtained. Under my direct supervision, moderate sedation was administered with the continuous monitoring of hemodynamic parameters by RN. Total sedation time was 30 minutes using Fentanyl and Versed. Using u/s guidance, right common femoral vein was visualized. A micropuncture kit was used to access the right common femoral vein under u/s guidance. Image of the vein was recorded and saved. A 8 Farench sheath was inserted into the right common femoral vein. Selective venogram was performed to visualize the anatomy of the IVC, the common iliac veins and the common femoral veins. After venogram, the Volcano intravascular u/s catheter was inserted antegrade from right common femoral vein. The IVUS catheter was advanced into the IVC with measurements obtained and recorded during catheter retraction into the right common iliac vein, followed by the external iliac vein, and concluding with the common femoral vein. IVUS catheter was removed from the body. After obtaining measurements, the sheath in the right groin was exchanged for a 10 F sheath. An 18 x 10 mm WallStent was advanced and deployed in the right common iliac vein down to the right external iliac vein. Stent was post dilated with XXL 18mm x 4 cm balloon. IVUS catheter re-advanced through right groin access and up to IVC, slow pull back with measurements obtained and recorded as post interventional. Sheath on the right side pulled and manual pressure held with good hemostasis. Patient transferred to recovery in stable condition.
I coded:
99152
99153
76937
75820 - 59, RT
37252
37253 x 2
37238
36012
Patient was prepped and draped in sterile fashion after informed consent was obtained. Under my direct supervision, moderate sedation was administered with the continuous monitoring of hemodynamic parameters by RN. Total sedation time was 30 minutes using Fentanyl and Versed. Using u/s guidance, right common femoral vein was visualized. A micropuncture kit was used to access the right common femoral vein under u/s guidance. Image of the vein was recorded and saved. A 8 Farench sheath was inserted into the right common femoral vein. Selective venogram was performed to visualize the anatomy of the IVC, the common iliac veins and the common femoral veins. After venogram, the Volcano intravascular u/s catheter was inserted antegrade from right common femoral vein. The IVUS catheter was advanced into the IVC with measurements obtained and recorded during catheter retraction into the right common iliac vein, followed by the external iliac vein, and concluding with the common femoral vein. IVUS catheter was removed from the body. After obtaining measurements, the sheath in the right groin was exchanged for a 10 F sheath. An 18 x 10 mm WallStent was advanced and deployed in the right common iliac vein down to the right external iliac vein. Stent was post dilated with XXL 18mm x 4 cm balloon. IVUS catheter re-advanced through right groin access and up to IVC, slow pull back with measurements obtained and recorded as post interventional. Sheath on the right side pulled and manual pressure held with good hemostasis. Patient transferred to recovery in stable condition.
I coded:
99152
99153
76937
75820 - 59, RT
37252
37253 x 2
37238
36012