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Wiki Coronary Angio vs. Peripheral Angio.

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Jim Pawloski

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I have a patient who was going to have a coronary angio from the radial artery approach. However, the catheter could not be advanced past the elbow. Imaging of the arm was performed and an occlusion of the brachial artery was found. What do I code? Is it 93454-74, or do I code 36140 and 75710?
Thanks,
Jim Pawloski, CIRCC
 
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I would go for the 36140 and 75710 since they were able to do the peripheral imaging, especially if another attempt may be tried for the coronaries later from a different approach.
 
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