Can someone please advise me on the correct coding for this procedure. New physician with our group and this is the first time for this procedure. Thank you in advance.
MDeel
Procedures
Indications
Conclusion
MDeel
Procedures
Peripheral angiography |
Angioplasty-peripheral |
Pre Procedure Diagnosis
| Post Procedure Diagnosis
|
Indications
PAD (peripheral artery disease) (CMS/HCC) [I73.9 (ICD-10-CM)] |
Pain of left lower extremity due to ischemia [I99.8 (ICD-10-CM)] |
Conclusion
Procedures Performed: Distal aortogram with bilateral run-off Left Lower Extremity peripheral angiography Percutaneous intervention of left common femoral artery with drug-coated balloon Bilateral groins were prepped and draped in a sterile manner. The right femoral artery was accessed, using ultrasound guidance, with a micropuncture needled and a 5 Fr sheath was placed. A Pigtail catheter was advanced to the distal aorta where a distal aortogram with bilateral run off was performed. A Rim catheter and soft angled glidewire was used to cross over to the left iliac. A Destination sheath was advanced over a wire. LLE angiography was performed. Argatroban bolus and drip were initiated given patients recent diagnosis of HIT and A Miracle Bros 4 wire was advanced down the vessel beyond the 99% common femoral lesion. A 3.0 x 20 mm balloon was used to perform angiography of the lesion. Then the area was treated with a 7.0 x 60 mm DCB was inflated to 6 atm for 3 minutes. Repeat angiography showed <30% residual stenosis and good flow. At the end of the procedure, all equipment was removed and hemostasis of the right common femoral artery was achieved with an Angioseal device. DISTAL AORTA - angiographically patent. RIGHT COMMON ILIAC - angiographically patent. RIGHT INTERNAL ILIAC - angiographically patent. RIGHT EXTERNAL ILIAC - angiographically patent. RIGHT COMMON FEMORAL - angiographically patent. LEFT COMMON ILIAC - angiographically patent. LEFT INTERNAL ILIAC - angiographically patent. LEFT EXTERNAL ILIAC - angiographically patent. LEFT COMMON FEMORAL - angiographically patent. LEFT PROFUNDA- angiographically patent. LEFT SFA - angiographically patent. LEFT POPLITEAL- occluded. LEFT ANTERIOR TIBIAL - occluded proximally then quickly reconstitutes. LEFT POSTERIOR TIBIAL - occluded proximally then quickly reconstitutes. LEFT PERONEAL - occluded proximally then quickly reconstitutes. |