margaret fahy
Guru
Hi,
I'm unsure of the venogram code(s) for the Embolization below.
Is it 36005/75820 and 37241, or X2?
Thanks so much.
PROCEDURE: The left lower extremity venous malformation was
examined with ultrasound and two suitable access sites for needle
placement were identified and the skin marked. The left lower
extremity was widely prepared and draped in the usual sterile
fashion. Using ultrasound guidance a 21 gauge needle was
advanced into two separate dilated superficial veins (medial and
lateral calf) and a 4Fr sheath placed. Using this access a
catheter was advanced centrally and venogram obtained. Direct
communication between the dilated lateral superficial vein was
noted with the femoral vein. Coil embolization of the venous
outflow of this lateral superficial femoral vein at the
perforator between the superficial and deep venous system was
performed using two 8 mm x 5 cm Tornado coils and a single 8 mm x
14 cm Nestor coil. Post embolization control venography was
performed. 4 ml of 3% STS, mixed with 2 mls of Ethiodol and 4
mls air was mixed to create a foam consistency and a total of
approximately 8ml of the mixture was injected at into the dilated
superficial vein along the lateral leg under fluoroscopic
guidance. Completion venography was performed via the separate
medial vein access site. The child left the IR suite in stable
condition.
I'm unsure of the venogram code(s) for the Embolization below.
Is it 36005/75820 and 37241, or X2?
Thanks so much.
PROCEDURE: The left lower extremity venous malformation was
examined with ultrasound and two suitable access sites for needle
placement were identified and the skin marked. The left lower
extremity was widely prepared and draped in the usual sterile
fashion. Using ultrasound guidance a 21 gauge needle was
advanced into two separate dilated superficial veins (medial and
lateral calf) and a 4Fr sheath placed. Using this access a
catheter was advanced centrally and venogram obtained. Direct
communication between the dilated lateral superficial vein was
noted with the femoral vein. Coil embolization of the venous
outflow of this lateral superficial femoral vein at the
perforator between the superficial and deep venous system was
performed using two 8 mm x 5 cm Tornado coils and a single 8 mm x
14 cm Nestor coil. Post embolization control venography was
performed. 4 ml of 3% STS, mixed with 2 mls of Ethiodol and 4
mls air was mixed to create a foam consistency and a total of
approximately 8ml of the mixture was injected at into the dilated
superficial vein along the lateral leg under fluoroscopic
guidance. Completion venography was performed via the separate
medial vein access site. The child left the IR suite in stable
condition.