CPT help for thrombin injection into aortic aneurysm

jojo2922

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Can anyone help me figure out the cpt's for this case? My boss asked me for help and I don't usually code interventional radiology. Any help would be greatly appreciated.

CT ,MISC SCAN,

Technique: Following informed consent, utilizing standard technique
and CT guidance, 4 mL of fibrin was injected into the enhancing
portion of the native abdominal aortic aneurysm with resultant
thrombosis of the nonexcluded portion of the aneurysm.

Interpretation:

Successful injection of nonexcluded AAA.
Addendum Ends
INJECTION OF FIBRINOUS GLUE INTO NATIVE ANEURYSM SAC, HAVING
PREVIOUSLY UNDERGONE ENDOVASCULAR REPAIR AND NOW DEMONSTRATING
FAILURE OF EXCLUSION

TECHNIQUE: Following written and informed consent, utilizing standard
radiographic technique and CT guidance, abdominal aortic aneurysm was
entered with a 17-gauge sheath needle and approximately 4 cc of
fibrin (Tisseel) was injected into the native aneurysm sac. The
needle was then removed and there was no evidence of hemorrhage.

INTERPRETATION:

Injection of nonexcluded abdominal aortic aneurysm without
complication immediate. Would suggest followup CT scan in 3-6 months
to confirm successful exclusion of the aneurysm sac.

Addendum Begins
FIBRIN INJECTION OF NONEXCLUDED ABDOMINAL AORTIC ANEURYSM FOLLOWING
PLACEMENT OF AORTIC STENT GRAFT

END OF REPORT
 
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