Someone help me please! I have the following op report --
I think I should be coding possibly 36140 or 36200 - NOT 36245
AND 75716
The patient was brought to the cardiac cath lab the right and left groins were prepared by standard sterile technique. 1% lidocaine solution injected into the right goin and a 6 French sheath introduced into the right femoral artery. A contra catheter was used for abdominal aortic angiogram and to obtain access to the contralateral iliac vessel.
Procedures:
Abdominal aortic angriogram
Nonselective right iliac angriogram with distal runoff
Selective right femoral angiogram with distal runoff
Attempt at percutaneous revascularization of a chronically occluded left superficial femoral artery.
Findings:
The distal abdominal aortic angriogram revealed patent abdominal aorta, bilateral common iliac vessels, bilateral external iliac and common femoral arteries.
Left side: The superficial femoral artery is completely occluded at its very origin and is reconstituted after the adductor canal as popliteal vessel. The profunda femoris is the dominant vessel that supplies collaterals. There is two-vessel runoff in the lower limb.
Right side: The superficial femoral artery has moderate disease up until the adductor canal. There is then a short segment of complete occlusion and the popliteal artery is reconstituted at its mid region. There is two-vessel runoff in the lower limb.
I used initially an advantage wire over a trailblazer catherter to negotiate the complete occlusion. I was able to cross the proximal and was able to navigate the wire and the catheter up to the distal end; at that time the wire took a subintimal course and therefore recannulization of the superficial femoral artery to the popliteal artery was not successful. I stopped the procedure in the wire and the catheter were removed. The long 7 French sheath was substituted for a short 7 Frenchsheath.
SOMEONE PLEASE HELP!
I think I should be coding possibly 36140 or 36200 - NOT 36245
AND 75716
The patient was brought to the cardiac cath lab the right and left groins were prepared by standard sterile technique. 1% lidocaine solution injected into the right goin and a 6 French sheath introduced into the right femoral artery. A contra catheter was used for abdominal aortic angiogram and to obtain access to the contralateral iliac vessel.
Procedures:
Abdominal aortic angriogram
Nonselective right iliac angriogram with distal runoff
Selective right femoral angiogram with distal runoff
Attempt at percutaneous revascularization of a chronically occluded left superficial femoral artery.
Findings:
The distal abdominal aortic angriogram revealed patent abdominal aorta, bilateral common iliac vessels, bilateral external iliac and common femoral arteries.
Left side: The superficial femoral artery is completely occluded at its very origin and is reconstituted after the adductor canal as popliteal vessel. The profunda femoris is the dominant vessel that supplies collaterals. There is two-vessel runoff in the lower limb.
Right side: The superficial femoral artery has moderate disease up until the adductor canal. There is then a short segment of complete occlusion and the popliteal artery is reconstituted at its mid region. There is two-vessel runoff in the lower limb.
I used initially an advantage wire over a trailblazer catherter to negotiate the complete occlusion. I was able to cross the proximal and was able to navigate the wire and the catheter up to the distal end; at that time the wire took a subintimal course and therefore recannulization of the superficial femoral artery to the popliteal artery was not successful. I stopped the procedure in the wire and the catheter were removed. The long 7 French sheath was substituted for a short 7 Frenchsheath.
SOMEONE PLEASE HELP!