Shay2025
Networker
Im new to the interventional radiology coding scene. If anyone can shed some light on this case... I would gladly appreciate it 
The pt was placed on the angiography table in the usual supine position. The lt groin was prepped and draped in the usual terile fashion. After giving the pt 10 ccs of 1 % lido in the lt groin, access to the lt common femoral artery was obtained using a micropuncture system. After serial dilation, a 6 french short sheath was advanced over a guidewire and hooked to heparinized saline flush. Through the sheath, a 5 rnch JB1 diagnostic catheter was advanced and selectively placed in vessel detailed below.
The catheter was removed. The sheath was removed and adequate hemostasis was obtained by using starclose device. There were no immediate complications.
S&I
the frontal angiogram of the left subclavian artery from left subclavian injection demonstrates normal vessels
The frontal and lateral posterior fossa angiogram obtained from the left vertebral artery inj. demostrates normal posterior fossa circulation
The frontal and lateral left common carotid artery bifurcation angiogram obtained from the left common carotid artery inj. demonstrates normal carotid bifurcation.
the frontal and lateral full cerebral angiogram obtained from the left common carotid artery injection demonstrates persistent perfect coiling of the left pericarotid ring aneurysm. No evidence of other new intracranial aneurysm.
The frontal and lateral right common carotid artery bifurcation angiogram obtained from the right common carotid artery inj. demonstrates normal carotid bifurication.
The full cerebral angiogram obtained from right common carotid artery inj. demonstrates normal intracranial circulation.
The frontal angiogram of the right subclavian artery obtained from right subclavian artery inj. demonstrates normal vessels. the ostium of the right vertebral artery is normal.
The posterior fossa angiogram obtained from right vertebral artery inj. demostrates normal posterior fossa circulation.
The pt was placed on the angiography table in the usual supine position. The lt groin was prepped and draped in the usual terile fashion. After giving the pt 10 ccs of 1 % lido in the lt groin, access to the lt common femoral artery was obtained using a micropuncture system. After serial dilation, a 6 french short sheath was advanced over a guidewire and hooked to heparinized saline flush. Through the sheath, a 5 rnch JB1 diagnostic catheter was advanced and selectively placed in vessel detailed below.
The catheter was removed. The sheath was removed and adequate hemostasis was obtained by using starclose device. There were no immediate complications.
S&I
the frontal angiogram of the left subclavian artery from left subclavian injection demonstrates normal vessels
The frontal and lateral posterior fossa angiogram obtained from the left vertebral artery inj. demostrates normal posterior fossa circulation
The frontal and lateral left common carotid artery bifurcation angiogram obtained from the left common carotid artery inj. demonstrates normal carotid bifurcation.
the frontal and lateral full cerebral angiogram obtained from the left common carotid artery injection demonstrates persistent perfect coiling of the left pericarotid ring aneurysm. No evidence of other new intracranial aneurysm.
The frontal and lateral right common carotid artery bifurcation angiogram obtained from the right common carotid artery inj. demonstrates normal carotid bifurication.
The full cerebral angiogram obtained from right common carotid artery inj. demonstrates normal intracranial circulation.
The frontal angiogram of the right subclavian artery obtained from right subclavian artery inj. demonstrates normal vessels. the ostium of the right vertebral artery is normal.
The posterior fossa angiogram obtained from right vertebral artery inj. demostrates normal posterior fossa circulation.