JRhea0715
Contributor
Will someone please clarify for me why this would be coded as 93455-26-XU & 92937-LC? Thank you in advance.
Following 1% buffered Lidocaine local anesthesia, a #6F vascular sheath was inserted into
the right femoral artery using sterile Seldinger technique. A #6F JL4
followed by a 6F JR4 coronary diagnostic catheter, each of which was used to
selectively opacify its respective circulations in standard projections,
were sequentially advanced over an 0.035 J-tipped guidewire. The JR4
catheter was manipulated into the left subclavian artery and exchanged over
the J-wire for a #5F IM catheter with which the IMA graft to the LAD was
engaged and opacified by injection of Isovue in standard projections. The
films were reviewed. The IM cathater was replaced with a #6F XB3 guide with
which the left coronary ostium was engaged. Attempts were made at passing an
0.014 Prowater wire and an 0.014 Confianza wire into an occluded large
"stranded"diagonal without success. The procedure was terminated and the
catheter and guide sheath were removed. Hemostasis was achieved by direct
manual compression over the arteriotomy site. The patient tolerated the
procedure well and no complications were identified.
Following 1% buffered Lidocaine local anesthesia, a #6F vascular sheath was inserted into
the right femoral artery using sterile Seldinger technique. A #6F JL4
followed by a 6F JR4 coronary diagnostic catheter, each of which was used to
selectively opacify its respective circulations in standard projections,
were sequentially advanced over an 0.035 J-tipped guidewire. The JR4
catheter was manipulated into the left subclavian artery and exchanged over
the J-wire for a #5F IM catheter with which the IMA graft to the LAD was
engaged and opacified by injection of Isovue in standard projections. The
films were reviewed. The IM cathater was replaced with a #6F XB3 guide with
which the left coronary ostium was engaged. Attempts were made at passing an
0.014 Prowater wire and an 0.014 Confianza wire into an occluded large
"stranded"diagonal without success. The procedure was terminated and the
catheter and guide sheath were removed. Hemostasis was achieved by direct
manual compression over the arteriotomy site. The patient tolerated the
procedure well and no complications were identified.
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