Wiki prostate embolization with catheterization

sharris01

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Hello. still learning the ins and outs of coding IR. Would anyone like to chime in on this procedure. Thanks in advance.

PROCEDURE:
1. Right common femoral artery access under ultrasound guidance
2. Right common femoral and external iliac artery angiogram, nonselective
3. Pelvic aortogram and bilateral iliac angiogram, nonselective.
4. Left common iliac (1st order), internal iliac (2nd order), anterior
division internal iliac
(3rd order), prostate artery (3rd+ order) selective catheterization and
angiogram
5. Left prostate artery embolization for treatment of benign tumor (BPH)
6. Right common iliac (1st order), internal iliac (2nd order), anterior
division internal iliac
(3rd order), prostate artery (3rd+ order) selective catheterization and
angiogram
7. Right prostate artery embolization for treatment of benign tumor (BPH)

TECHNIQUE:

The patient was placed supine on the angiographic table and both groins were

prepped and draped in the usual sterile fashion.



Arterial access: Under direct ultrasound guidance, the patent right common femoral artery was

punctured with a 21-gauge micro puncture needle with visualization of the needle tip in the

accessed vessel. A 0.018 inch guidewire was advanced into the iliac artery under fluoroscopic

guidance. The needle was exchanged over the wire for a 5-French micro puncture introducer. The

introducer was exchanged over a 0.035 inch wire for a 5-French sheath.



Right common femoral and external iliac artery angiogram: Contrast injection into the arterial

access sheath demonstrated proper access location above the profunda femoris origin and below

the inguinal ligament. Vessel diameter is appropriate size for closure device.



Pelvic aortogram and bilateral iliac angiogram: A 5-French Omni flush catheter was inserted

over a Bentson wire and formed in the abdominal aorta. Pelvic aortogram and bilateral iliac

angiogram identified the origins of the internal iliac arteries. Prostate arteries were not

clearly identified.



Left common iliac artery, internal iliac artery, anterior division internal iliac artery, and

prostate artery selective catheterization and angiogram: A glide wire was inserted into the

Omni flush catheter and used to select the left common iliac artery and external iliac artery.

The Omni flush catheter was exchanged over the glide wire for a 5-French RBT catheter. The

catheter was used to select the anterior division internal iliac artery. Angiogram was

performed in the ipsilateral oblique. The prostate artery origin was identified. A 2.0 French

microcatheter and 0.016 inch microwire were used to select the prostate artery. Angiogram was

performed to confirm proper position. There are distal collateral penile branches.



Left prostate artery embolization: 100 mcg nitroglycerin was administered into the prostate

artery for vasodilation to prevent vasospasm to aid in better embolization. Left prostate

artery was embolized using 100–300-micron Embospheres to hemostasis.



Right common iliac artery, internal iliac artery, anterior division internal iliac artery, and

prostate artery selective catheterization and angiogram: The 5 French RBT catheter was

retracted into the abdominal aorta and used to select the right common iliac, internal iliac,

anterior division internal iliac artery. Angiogram in the ipsilateral oblique identified the

prostate artery origin. A 2.0 French microcatheter and 0.016 inch Fathom microwire were used to

select the prostate artery. Angiogram shows no collateral flow to the rectal or penile

branches.



Right prostate artery embolization: 100 mcg nitroglycerin was administered into the prostate

artery for vasodilation to prevent vasospasm to aid in better embolization. Left prostate

artery was embolized using 100–300-micron Embospheres to hemostasis. Coil embolization was

performed using 2 mm x 2 cm and 2 mm x 10 cm detachable low-profile Penumbra coils.



Closure: All wires, catheters, and sheaths were removed. Hemostasis at the right common femoral

artery access was achieved using a 6 French Angio-Seal closure device. Manual compression

applied for 2 minutes. Sterile dressing applied.
 
This is an easy one. First, it's an embolization and the doctor knows what is going to be done. So, no diagnostic codes (just like a uterine fibroid embolization). First code is 37243 - Embolization of an organ. The catheter position for the prostate arteries is 36247 using either modifier 50 or LT & RT depending on the third-party payer. 76937 if documented properly. Moderate sedation is also billable.

HTH,
Jim
 
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