artery

  1. D

    Wiki axillary artery ligation for post op hemorrhage

    I have a tricky one i could really use help with. Pt came in thru the ED with 2 massively infected axillofemoral dacron grafts. My surgeon removed both and performed a direct repair of a ruptured axillary artery. A week later the patient started bleeding again, so he did this: Via a new...
  2. D

    Wiki Cardiac PTCA ?

    Can someone tell me if I am on the right track here; I feel like I am missing something. Patient with dx of arteriosclerotic heart disease had the following: Percutaneous Transluminal Coronary Atherectomy with balloon angoplasty of the left circumflex coronary artery and percutaneous...
  3. S

    Wiki Carotid Angiography - Femoral Artery

    Please provide the appropriate codes i am so confused with this procedures. Super Selection and Angiogram: Right Common Femoral Artery Super Selection and Angiogram: Right Common Carotid Artery (cervical biplane) Super Selection and Angiogram: Right Internal Carotid Artery (AP and Lat)...
  4. J

    Wiki Valid Procedure codes can be either ER HC IV or WK

    Invalid Procedure Code Qualifier for Procedure Procedure 2: 37237. Valid Procedure codes can be either ER, HC, IV, or WK.
  5. J

    Wiki Denial: Valid Procedure codes can be either ER, HC, IV, or WK.

    We received a denial from Medicare: EDRC-Invalid Procedure Code Qualifier for Procedure Procedure 2: 37237. Valid Procedure codes can be either ER, HC, IV, or WK. Here are the diagnosis and procedure codes we submitted on the claim: I70.219, I65.8 37236-LT, 37237-LT, 35475-59, 75710-26-59...
    • JRhea0715
    • Thread
    • artery either er hc iv or wk gradient procedure subclavian
    • Replies: 2
    • Forum: Cardiology
  6. C

    Wiki Bilateral renal artery angioplasty and stent placement HELP

    Hello, I am fairly new to vascular coding and I want to make sure I code this correct. I am thinking 36252 (bilat)and 37236, 37237. From what I have read angio is included in stent placement so I would not use 35471. I attached the op note below. Thanks for any help with this. Procedure...
  7. N

    Wiki coding

    we billed these codes for angiography and the 36247 was denied by BCBS stating Experimental/Investigational. Corporate Medical policy 6.01.15 intravascular brachytherapy. We just did an angiography. Are there code changes? Any help will be appreciated INDICATION: Intermittent claudication, left...
  8. M

    Wiki Optical coherence tomography for renal vessels

    Guys, I don't see a temporary code for OCT for vessels other than coronary....do you know of any other temporary codes for this scenario? Next over the 0.014 wire, the OCT system was advanced into the left renal artery via the Flexor sheath, which was advanced to the origin of the left renal...
  9. B

    Wiki two different doctors perform procedure same day- need help

    CLINICAL INDICATIONS This is a 53 years old noninsulin dependent diabetic, hypertensive, hyperlipidemic black male who is an active smoker. He was admitted to the hospital with chest discomfort, palpitations, mild shortness of breath...
  10. M

    Wiki Chemo injxn-intra-arterial-head

    01/15/16 Folks, What codes would you use for this one? PROCEDURE: The skin of the groin was prepped and draped in sterile fashion and local anesthesia using 1 percent buffered lidocaine was infused over the right common femoral artery. Using Seldinger technique a 21g needle was inserted into...
  11. W

    Wiki Please help code robotic-assisted left distal ureterectomy and ureteral re-implant

    The patient was placed in steep Trendelenburg and the robot docked. The sigmoid colon was then mobilized medially. The ureter was identified and traced caudad. Tissue planes around the ureter seen reasonably well defined considering that she had a previous balloon dilatation of the ureter with...
    • wyatt313
    • Thread
    • artery bladder dissection iliac ureter
    • Replies: 3
    • Forum: Urology
  12. M

    Wiki Optical coherence tomography during renal angiography

    Hi, Is there a temporary code this OCT of vessels other than coronary?...as below.... Next over the 0.014 wire, the OCT system was advanced into the left renal artery via the Flexor sheath, which was advanced to the origin of the left renal artery with the aid of the Cobra catheter and 0.035...
  13. A

    Wiki Overlapping Stents in different vessels

    I know that we only bill for one stent if they are overlapping in the same vessel but can you bill for the 2 different vessels if they are overlapping? Op note below, please advise! Thank you! PROCEDURE: 1. Left heart catheterization. 2. Coronary angiography. 3. Successful...
  14. R

    Wiki Uterine Artery Embolization - Should the artery

    Should the artery embolizations be coded along with a separate code for Fibroid embolization?
  15. J

    Wiki Lengthy Peripheral study-need help!

    OK, would someone please be willing to read this and let me know about codes? I have: 93454.26 36221 92928.RC 92978.26.RC 75710.26 I'm stuck on the rest. Could the 35475/75962.26 be used for PTA of radial artery? Any catheter placement code I may be missing? Uggh, this one was a doozy for me...
    • Jess1125
    • Thread
    • artery patient radial sheath spasm
    • Replies: 1
    • Forum: Cardiology
  16. N

    Wiki Renal and Peripheral angiographies need help coding please

    1. Right common femoral artery access with catheter placement and selective engagement of bilateral renal arteries with supervision and interpretation. 2. Bilateral renal artery stenting. HISTORY OF PRESENT ILLNESS: The patient is a 68-year-old with a history of resistant hypertension...
  17. C

    Wiki new to carotid angiography coding HELP!

    My doctors rarely do intervention with the carotid arteries. When they do I am completely stumped! HELP Procedure: 1. Bilateral Carotid Angiography 2. Cerebral Angiography. 3. Aortic arch angiography 4. Angio-seal of the right femoral artery after confirming mid arterial stick with right...
  18. C

    Wiki attempted & failed stents x3

    I have a cardiac cath case where our physicians performed a left heart cath and attempted to stent the right coronary artery three times but discontinued everytime. They proceeded to follow up with an angioplasty in that right coronary artery instead. I am under the impression if the PTCA was...
  19. A

    Wiki Radial Artery Biopsy

    The surgeon biopsied the radial artery by harvesting a 1cm length of the radial artery from the forearm and 2cm from the wrist. Is there a code for this?? Thanks in advance :confused:
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