Wiki AA and Renal Bilat (selective) angio

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decus1956

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This is all my report states:

Dx: Renovascular htn

Pt presents w/malignant htn, renal U/S suggests high grade R renal artery stenosis

Procedure technique: access: femoral, fluoro time 7.5 min, contrast visipaque ....

Findings: Aortography: mild diffuse intraluminal narrowing of mid and distal AA w/focal narrowing of distal Aorta. Single renal artery arises bilaterally
Has hemnodynamic summary:
Vascular: There is smooth 50% narrowing of proximal L renal artery and 50-60% narrowing of proximal R renal artery

Conclusions: MOderate bilateral renal artery narrowing, Mild narrowing of mid and distal AA.

Dr has codes 75625-26, 36245-50 and 36252......Any suggestions? I thought 36252 would bundle with 75625?
 
deannegreen said:
This is all my report states:

Dx: Renovascular htn

Pt presents w/malignant htn, renal U/S suggests high grade R renal artery stenosis

Procedure technique: access: femoral, fluoro time 7.5 min, contrast visipaque ....

Findings: Aortography: mild diffuse intraluminal narrowing of mid and distal AA w/focal narrowing of distal Aorta. Single renal artery arises bilaterally
Has hemnodynamic summary:
Vascular: There is smooth 50% narrowing of proximal L renal artery and 50-60% narrowing of proximal R renal artery

Conclusions: MOderate bilateral renal artery narrowing, Mild narrowing of mid and distal AA.

Dr has codes 75625-26, 36245-50 and 36252......Any suggestions? I thought 36252 would bundle with 75625?
Click to expand...

All is see is 75625 and 36140 (femoral access).
The physician has not documented catheter placement so no 36200, (much less 36245-50), or 36252. The most logical combination is
36200/75625 or just 36262 but again, the documentation is insufficient.

HTH :)
 
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