Would appreciate any input re: codes for the following:
Under ultrasound guidance, the left common femoral artery was entered with an 18 gauge needle and a J wire was placed into the aorta. We placed a 4-French sheath. We placed an ultra flush catheter to L1 over the wire. We shot an aortogram and iliac angiogram with obliquities. I then placed an angled glidewire and ultra flush catheter up and over the aortic bifurcation into the right common femoral artery. Here I shot a right lower extremity angiogram and "diagnosed" the SFA disease. We then gave 5000 heparin and I confirmed and ACT greater than 225. I crossed the lesion with a combination of an angled glidewire and quick cross catheter.I confirmed intraluminal position in the below-knee popliteal with an angiogram. I exchanged out for a versacore wire. I marked up the lesion and advanced a 6 mm diameter x 150mm length stent over the wire across the lesion and deployed the stent. I postdilated the stent. The was 0% residual stenosis on angiogram. I then shot an angiogram of the left extremity, that showed moderate SFA stenosis and 3 vessel runoff.
I'm thinking 37226, 75716/ 26, Not sure re: codes for an aortogram and iliac angiogram
If there was no intervention how would this be coded?
Under ultrasound guidance, the left common femoral artery was entered with an 18 gauge needle and a J wire was placed into the aorta. We placed a 4-French sheath. We placed an ultra flush catheter to L1 over the wire. We shot an aortogram and iliac angiogram with obliquities. I then placed an angled glidewire and ultra flush catheter up and over the aortic bifurcation into the right common femoral artery. Here I shot a right lower extremity angiogram and "diagnosed" the SFA disease. We then gave 5000 heparin and I confirmed and ACT greater than 225. I crossed the lesion with a combination of an angled glidewire and quick cross catheter.I confirmed intraluminal position in the below-knee popliteal with an angiogram. I exchanged out for a versacore wire. I marked up the lesion and advanced a 6 mm diameter x 150mm length stent over the wire across the lesion and deployed the stent. I postdilated the stent. The was 0% residual stenosis on angiogram. I then shot an angiogram of the left extremity, that showed moderate SFA stenosis and 3 vessel runoff.
I'm thinking 37226, 75716/ 26, Not sure re: codes for an aortogram and iliac angiogram
If there was no intervention how would this be coded?