• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki CPT code for Percutaneous removal of embolized watchman device

Create Wiki
J

jcurling

New
Messages
2
Location
Chesapeake, VA
Best answers
0
Hello,
Need help with the CPT code for this procedure. Is there a code or must I use an unlisted code? The closest I could find was 37197 but not sure this is correct because device was retrieved from the aorta.

"Bilateral percutaneous access was gained to the bilateral groins with 18-gauge needle.* The wire in the right groin was exchanged for a 20-French 55 cm sheath and left side was exchanged for a 6 x 11 sheath.* A pigtail was brought to the ascending aorta and aortogram was done which demonstrated normal patent ascending aorta.* Patent arch vessels and a Watchman device at the level of left subclavian artery.* There was at that point nonocclusive.* From the bilateral sheath, 2 snares were placed and the distal structures were snared in 2 directions.* We were able to migrate this very minimally towards the level of the feet, however, we could not get this to come into our sheath.* As such from the right side, we put a Cook vascular retrieval device up through our sheath.* We were able to grab our distal strut, closed our __________ device and pulled the entire thing into our sheath.* This was removed in 1 piece."
Thanks.
 
jcurling said:
Hello,
Need help with the CPT code for this procedure. Is there a code or must I use an unlisted code? The closest I could find was 37197 but not sure this is correct because device was retrieved from the aorta.

"Bilateral percutaneous access was gained to the bilateral groins with 18-gauge needle.* The wire in the right groin was exchanged for a 20-French 55 cm sheath and left side was exchanged for a 6 x 11 sheath.* A pigtail was brought to the ascending aorta and aortogram was done which demonstrated normal patent ascending aorta.* Patent arch vessels and a Watchman device at the level of left subclavian artery.* There was at that point nonocclusive.* From the bilateral sheath, 2 snares were placed and the distal structures were snared in 2 directions.* We were able to migrate this very minimally towards the level of the feet, however, we could not get this to come into our sheath.* As such from the right side, we put a Cook vascular retrieval device up through our sheath.* We were able to grab our distal strut, closed our __________ device and pulled the entire thing into our sheath.* This was removed in 1 piece."
Thanks.
Click to expand...

The Watchman device is a foreign body, so 37197 would be he correct code.
HTH,
Jim Pawloski, CIRCC
 
You must log in or register to reply here.
Top