superorozco
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Hi everyone,
I need some help on choosing the correct codes for the below. I have some of the codes, but not sure of the placement part of the infusion wire. Thank you for your time. Here is what i think: 93530.26, 93542,93556.26.59, and 37201,75894.26.
PROCEDURE:
1. Left heart retrograde catheterization.
2. Selective subclavian artery angiography times 3.
3. Selective shunt angiogram times 3.
4. Placement of chronic indwelling 0.035-inch infusion wire into left
pulmonary artery through the clotted left Blalock-Taussig shunt.
DESCRIPTION OF INTERVENTIONAL PROCEDURE: Placement of chronic indwelling infusion wire through the left modified Blalock-Taussig shunt: A 4-French MPA catheter was placed in the proximal stump of the left shunt. First a 0.025 inches Terumo Glidewire with angle tip was advanced and torqued carefully into the shunt and found its way partway through the shunt and then ultimately into the left pulmonary artery. We then used an angiogram to confirm a tiny lumen. Then we used a 0.035 inches angle tip Terumo Glidewire also out into the left pulmonary artery. Angiogram again confirmed flow into the left pulmonary artery. Then, finally were able to place a 0.035 inch Boston Scientific Katzen infusion wire with a 9 cm distal infusion wire at the end of the 180 cm catheter. We were able to slightly angle the tip of the wire so that we were able to manipulate out into the distal left lower pulmonary artery and the
proximal infusion marker was in the subclavian artery right near the entrance of the shunt. There were no complications with placement of this. No evidence for blood in the costophrenic angle. No evidence for extravasation of contrast in the injections in the left subclavian artery or proximal shunt.
Thank you!!!
I need some help on choosing the correct codes for the below. I have some of the codes, but not sure of the placement part of the infusion wire. Thank you for your time. Here is what i think: 93530.26, 93542,93556.26.59, and 37201,75894.26.
PROCEDURE:
1. Left heart retrograde catheterization.
2. Selective subclavian artery angiography times 3.
3. Selective shunt angiogram times 3.
4. Placement of chronic indwelling 0.035-inch infusion wire into left
pulmonary artery through the clotted left Blalock-Taussig shunt.
DESCRIPTION OF INTERVENTIONAL PROCEDURE: Placement of chronic indwelling infusion wire through the left modified Blalock-Taussig shunt: A 4-French MPA catheter was placed in the proximal stump of the left shunt. First a 0.025 inches Terumo Glidewire with angle tip was advanced and torqued carefully into the shunt and found its way partway through the shunt and then ultimately into the left pulmonary artery. We then used an angiogram to confirm a tiny lumen. Then we used a 0.035 inches angle tip Terumo Glidewire also out into the left pulmonary artery. Angiogram again confirmed flow into the left pulmonary artery. Then, finally were able to place a 0.035 inch Boston Scientific Katzen infusion wire with a 9 cm distal infusion wire at the end of the 180 cm catheter. We were able to slightly angle the tip of the wire so that we were able to manipulate out into the distal left lower pulmonary artery and the
proximal infusion marker was in the subclavian artery right near the entrance of the shunt. There were no complications with placement of this. No evidence for blood in the costophrenic angle. No evidence for extravasation of contrast in the injections in the left subclavian artery or proximal shunt.
Thank you!!!