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Wiki Braciocephalic Artery

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AshleyMartin

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Marrero, LA
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Is cannulating the braciocephalic trunk a first order selective cath placement?

After coronary angiogram was obtained documentation states:

"The no-torque wire was used to cannulate the right braciocephalic trunk for which a DSA of the right carotid artery was obtained. The no-torque wire was then placed in the transverse aorta, pointed into the left common carotid where DSA of the left carotid arteries were obtained."

Do I code for 1st order cath placement? 36215?
 
AshleyMartin said:
Is cannulating the braciocephalic trunk a first order selective cath placement?

After coronary angiogram was obtained documentation states:

"The no-torque wire was used to cannulate the right braciocephalic trunk for which a DSA of the right carotid artery was obtained. The no-torque wire was then placed in the transverse aorta, pointed into the left common carotid where DSA of the left carotid arteries were obtained."

Do I code for 1st order cath placement? 36215?
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Usually the answer is yes, but it depends on the access (femoral vs brachiocephalic etc?). Also, in this example, there is no mention of a catheter although I am unfamiliar with "no-torque wires". I do not code for wire placement.
HTH :)
 
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