Wiki Revascularization/abd angio/ lower ext angio

Robbin109

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General question:

MD inserts cath into left common femoral artery
advances cath into the aorta and injects contracts at the origin of the renal arteries, comments on the abd aorta and renal arteries. Then pulls back just above the origin of the iliac arteries, comments on both iliacs. (75625 and 75716?)

Next, cath is placed into the right common femoral artery and injects again, and comments all all the vessels of the right leg.

Performs atherectomy of right AT (37229)

Finally, Ansel sheath is replaced by short sheath which in the left common femoral artery and does a left extremity angio and comments on all the vessels of the left leg as well.

How are are the individual leg angios handled?
 
Last edited:
General question:

MD inserts cath into left common femoral artery
advances cath into the aorta and injects contracts at the origin of the renal arteries, comments on the abd aorta and renal arteries. Then pulls back just above the origin of the iliac arteries, comments on both iliacs. (75625 and 75716?)

Next, cath is placed into the right common femoral artery and injects again, and comments all all the vessels of the right leg.

Performs atherectomy of right AT (37229)

Finally, Ansel sheath is replaced by short sheath which in the left common femoral artery and does a left extremity angio and comments on all the vessels of the left leg as well.

How are are the individual leg angios handled?

It would be 75716, since the lower aortic injection only includes the iliac vessels. Otherwise I agree with your other codes.
HTH,
Jim Pawloski, R.T. (CV), CIRCC
 
ok...

So the whole procedure would be:

37229
75625
75716

no separate codes for injecting the left and right common femoral artery separately?

Thanks! Just trying to clear up a few things....
 
ok...

So the whole procedure would be:

37229
75625
75716

no separate codes for injecting the left and right common femoral artery separately?

Thanks! Just trying to clear up a few things....

Correct, those injections only serve to complete the bilateral lower extremity angiography.

HTH :)
 
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