amym
Guest
Is it appropriate to code this as 37205 and 36245 or can I bill for any diagnostics?
PX: Abdominal aortogram with selective celiac arterial angiogram. PTCA of the celiac artery and stent placement of the celiac artery.
After informed consent was obtained, the patient was brought into the cardiology suite and the patient was prepped according to sterile precautions. Access was obtained in
the right common femoral artery using a 7-French sheath. After this, an 0.035 guidewire was passed and over this is a 5-French Omniflush catheter was passed and an abdominal aortogram was performed, which revealed 80% ostial celiac artery stenosis. After that, a JR-4 catheter was brought next to the ostial lesion and selective celiac angiogram was performed. Then a 0.014 BMW 300 cm wire was passed and parked in the distal vessel. The rest of the intervention was carried throughout with guidance on this wire. The lesion was initially dilated by a 6/20 balloon. After the initial dilatation, there was suboptimal results noted with the angioplasty in the region and a general stent with a balloon expandable 6 x 17 bare metal stent. This was followed by post dilatation
PX: Abdominal aortogram with selective celiac arterial angiogram. PTCA of the celiac artery and stent placement of the celiac artery.
After informed consent was obtained, the patient was brought into the cardiology suite and the patient was prepped according to sterile precautions. Access was obtained in
the right common femoral artery using a 7-French sheath. After this, an 0.035 guidewire was passed and over this is a 5-French Omniflush catheter was passed and an abdominal aortogram was performed, which revealed 80% ostial celiac artery stenosis. After that, a JR-4 catheter was brought next to the ostial lesion and selective celiac angiogram was performed. Then a 0.014 BMW 300 cm wire was passed and parked in the distal vessel. The rest of the intervention was carried throughout with guidance on this wire. The lesion was initially dilated by a 6/20 balloon. After the initial dilatation, there was suboptimal results noted with the angioplasty in the region and a general stent with a balloon expandable 6 x 17 bare metal stent. This was followed by post dilatation