The physician coded the below report as cpt 36010, 37620, 75825, 75940 and 76937--however cpt 76937 is an add on code--how should this report be coded accordingly? Thank you.
History: The patient is a 89 year old female requiring prophylaxis for pulmonary embolism. Patient is planned for certain elective orthopedic surgery.
Indication: Prophylaxis against PE in patient unable to undergo anticoagulation.
Sedation: 1% lidocaine
Approach: left common femoral, sonographic and fluoroscopic guided
Contrast: 20 cc Omniscan
Fluoro time: 2 minutes
Procedure time: 30 minutes
Immediate complications: None
Procedure: Continuous physiological monitoring was performed throughout the procedure. With the patient in the supine position the left groin was prepped and draped in usual sterile fashion. Under ultrasound guidance left common femoral vein was catheterized using 21G needle. Exchange was made for 4 French angiographic catheter which was then successfully passed into the inferior vena cava. Exchange was made for a IVC filter introducer sheath. Contrast examination shows normal-sized patent inferior vena cava.The position of the renal veins was noted. A removable Gunther Tulip IVC filter was than deployed at L3 level with good positioning. The sheath was removed and manual pressure was applied to the puncture site until adequate hemostasis was achieved. The patient tolerated the procedure without incident.
Conclusion :
1/ IVC gram performed via left common femoral vein vein demonstrating a patent IVC was no thrombus.
2/ Successful deployment of the removable Gunther Tulip IVC filter at L3 level.
History: The patient is a 89 year old female requiring prophylaxis for pulmonary embolism. Patient is planned for certain elective orthopedic surgery.
Indication: Prophylaxis against PE in patient unable to undergo anticoagulation.
Sedation: 1% lidocaine
Approach: left common femoral, sonographic and fluoroscopic guided
Contrast: 20 cc Omniscan
Fluoro time: 2 minutes
Procedure time: 30 minutes
Immediate complications: None
Procedure: Continuous physiological monitoring was performed throughout the procedure. With the patient in the supine position the left groin was prepped and draped in usual sterile fashion. Under ultrasound guidance left common femoral vein was catheterized using 21G needle. Exchange was made for 4 French angiographic catheter which was then successfully passed into the inferior vena cava. Exchange was made for a IVC filter introducer sheath. Contrast examination shows normal-sized patent inferior vena cava.The position of the renal veins was noted. A removable Gunther Tulip IVC filter was than deployed at L3 level with good positioning. The sheath was removed and manual pressure was applied to the puncture site until adequate hemostasis was achieved. The patient tolerated the procedure without incident.
Conclusion :
1/ IVC gram performed via left common femoral vein vein demonstrating a patent IVC was no thrombus.
2/ Successful deployment of the removable Gunther Tulip IVC filter at L3 level.
