drhoads
Guru
Please help code op report:
Procedure Performed: Popliteal angioplasty.
Lidocaine 1% was used for the procedure to maintain an anesthetic field. The common femoral artery was cannulated on the left guidewire passed into the central circulation and a 6-French Raabe catheter was introduced into the SFA. The pt was systemically heparinized with 5,000 units of heparin and ACT was greater than 257 during the interventional portion of the procedure.
Using a combination of glidewire and quick-cross catheter, the SFA lesion that had previously been identified was crossed. Intraluminal position of the catheter was confirmed by arteriography. Subsequently the wire was replaced with a Storq wire. A 10cm x 6 mm balloon angioplasty of the occluded segment was performed with completion film demonstrating a widely patent reconstruction. He had additional disease behind the knee, but we elected not to proceed with further intervention because of his slightly elevated creatinine and the presence of a prosthesis which made visualizations of the infragenicular component of the popliteal more difficult to assess. I felt that the restoration of flow into this segment was adequate given that it had good collateralization runoff though the anterior tibial. The sheath was brought back, site closed with an Angio-Seal.
I am coming up with: 36247-Lt and 37224-L
Procedure Performed: Popliteal angioplasty.
Lidocaine 1% was used for the procedure to maintain an anesthetic field. The common femoral artery was cannulated on the left guidewire passed into the central circulation and a 6-French Raabe catheter was introduced into the SFA. The pt was systemically heparinized with 5,000 units of heparin and ACT was greater than 257 during the interventional portion of the procedure.
Using a combination of glidewire and quick-cross catheter, the SFA lesion that had previously been identified was crossed. Intraluminal position of the catheter was confirmed by arteriography. Subsequently the wire was replaced with a Storq wire. A 10cm x 6 mm balloon angioplasty of the occluded segment was performed with completion film demonstrating a widely patent reconstruction. He had additional disease behind the knee, but we elected not to proceed with further intervention because of his slightly elevated creatinine and the presence of a prosthesis which made visualizations of the infragenicular component of the popliteal more difficult to assess. I felt that the restoration of flow into this segment was adequate given that it had good collateralization runoff though the anterior tibial. The sheath was brought back, site closed with an Angio-Seal.
I am coming up with: 36247-Lt and 37224-L