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Wiki Attempted subclavian ptca ??

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sslater

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Jonesboro, AR
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Can i code anything for this procedure? He returned later and had a successful stenting of the subclavian through the brachial. I just wasn't sure if there was anything i could code on this first procedure. Thank you.



BRIEF HISTORY: 52-year old white male who is having this test done
because probable left subclavian artery stenosis.

PROCEDURE: Aortogram and attempted left subclavian artery PTCA.

A. DYE USED: Less than 20 cc's of dye.
B. COMPLICATIONS: No acute or apparent complications.
C. PREMEDICATIONS: 25mg of p.o. Benadryl and 5mg of p.o. Valium.
D. TECHNIQUE: Modified Seldinger technique through the right femoral
artery.
E. CATHETERS: 6 French Shuttle sheath also used was a 5 French
guiding catheter to see if we could engage the left subclavian artery.


PROCEDURE: Of note, we did an aortogram. Left subclavian artery
appeared to be totally occluded.
So we tried to attempt to wire this. This was unsuccessful.

IMPRESSION:
Aortogram showed left subclavian artery was totally occluded. Wiring
was unsuccessful.
 
sslater said:
Can i code anything for this procedure? He returned later and had a successful stenting of the subclavian through the brachial. I just wasn't sure if there was anything i could code on this first procedure. Thank you.



BRIEF HISTORY: 52-year old white male who is having this test done
because probable left subclavian artery stenosis.

PROCEDURE: Aortogram and attempted left subclavian artery PTCA.

A. DYE USED: Less than 20 cc's of dye.
B. COMPLICATIONS: No acute or apparent complications.
C. PREMEDICATIONS: 25mg of p.o. Benadryl and 5mg of p.o. Valium.
D. TECHNIQUE: Modified Seldinger technique through the right femoral
artery.
E. CATHETERS: 6 French Shuttle sheath also used was a 5 French
guiding catheter to see if we could engage the left subclavian artery.


PROCEDURE: Of note, we did an aortogram. Left subclavian artery
appeared to be totally occluded.
So we tried to attempt to wire this. This was unsuccessful.

IMPRESSION:
Aortogram showed left subclavian artery was totally occluded. Wiring
was unsuccessful.
Click to expand...

I would bill this 36221- Non selective great vessels. No catheterization of the subclavian or imaging is documented.
HTH,
Jim Pawloski, CIRCC
 
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