amym
Guest
Is it appropriate to code this as 37225? CTA Done within 30 days of the procedure and diagnostic portion not billed. Can I bill anything else?
DESCRIPTION OF PROCEDURE: After informed consent was obtained,
patient was brought to the endoscopy suite and access was obtained
in the right common femoral artery, with a 5-French sheath. After
access was obtained, a 0.035 wire was passed in the distal aorta,
and a 5-French Omniflush catheter was advanced on the wire and
parked in the abdominal aorta. After that, the 0.035 wire was
withdrawn and abdominal angiogram with runoffs were done.
FINDINGS OF THE ABDOMINAL ANGIOGRAM WITH RUNOFFS: Normal abdominal
aorta. Tortuous iliac arteries. Normal left and right renal
arteries, with disease in the left lower extremity, as described
above. After the diagnosis was established, intervention was
planned.
DETAILS OF THE INTERVENTION: Through the 5-French Omniflush
catheter an 0.035 stiff angled glide was advanced and using that
0.035 wire, Omniflush catheter up and over portion was advanced into
the contralateral common femoral artery. After that, the Omniflush
catheter and 5-French sheath were withdrawn and a 7-French, 45 cm
destination sheath was used. The tip of the destination sheath was
parked in the superficial femoral artery. Suggested intervention
was carried through this destination sheath. An 0.035 Storq wire
was used and parked in the popliteal artery. Then a Trialysis
catheter, which is parked in popliteal artery and the Trialysis
catheter was used to deploy a filter device in the popliteal
artery. After deployment of the filter device, the 0.014 filter
wire was used for the rest of the intervention. A atherectomy
device was used and the filter wire was used as a rail and
atherectomy was performed in the tightest lesion in the superficial
femoral artery. After that, the atherectomy device was withdrawn
and angiogram was performed with good angiographic results, with
increased flow in the distal vessel.
DESCRIPTION OF PROCEDURE: After informed consent was obtained,
patient was brought to the endoscopy suite and access was obtained
in the right common femoral artery, with a 5-French sheath. After
access was obtained, a 0.035 wire was passed in the distal aorta,
and a 5-French Omniflush catheter was advanced on the wire and
parked in the abdominal aorta. After that, the 0.035 wire was
withdrawn and abdominal angiogram with runoffs were done.
FINDINGS OF THE ABDOMINAL ANGIOGRAM WITH RUNOFFS: Normal abdominal
aorta. Tortuous iliac arteries. Normal left and right renal
arteries, with disease in the left lower extremity, as described
above. After the diagnosis was established, intervention was
planned.
DETAILS OF THE INTERVENTION: Through the 5-French Omniflush
catheter an 0.035 stiff angled glide was advanced and using that
0.035 wire, Omniflush catheter up and over portion was advanced into
the contralateral common femoral artery. After that, the Omniflush
catheter and 5-French sheath were withdrawn and a 7-French, 45 cm
destination sheath was used. The tip of the destination sheath was
parked in the superficial femoral artery. Suggested intervention
was carried through this destination sheath. An 0.035 Storq wire
was used and parked in the popliteal artery. Then a Trialysis
catheter, which is parked in popliteal artery and the Trialysis
catheter was used to deploy a filter device in the popliteal
artery. After deployment of the filter device, the 0.014 filter
wire was used for the rest of the intervention. A atherectomy
device was used and the filter wire was used as a rail and
atherectomy was performed in the tightest lesion in the superficial
femoral artery. After that, the atherectomy device was withdrawn
and angiogram was performed with good angiographic results, with
increased flow in the distal vessel.