Embolization

prabha

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My provider has given me the below set of codes, can anyone please confirm if its correct..

36012*4
36481
37241
75774*4
75887-59
76937


IR EMBOLIZATION VASCULAR VENOUS

The right upper quadrant was prepped and draped in usual sterile fashion. Lidocaine 1% was used for local anesthesia. Under ultrasound guidance, a peripheral right posterior portal vein
was accessed and selectively catheterized. Position was confirmed with diagnostic portal venography. Standard upsize was made to an 035 system over which a 5 French sheath was advanced.

A 5 French catheter was advanced into the main portal vein and diagnostic portal venogram was performed.

A microcatheter was advanced through the 5 French catheter in the right posterior superior portal vein was selectively catheterized. Position was confirmed with diagnostic venography.

Selective embolization of this branch was carried out using a 6:1 mixture of lipiodol:n-BCA. Postembolization venogram was performed.

A microcatheter was advanced through the 5 French catheter in the right inferior superior portal vein was selectively catheterized. Position was confirmed with diagnostic venography.

Selective embolization of this branch was carried out using a 6:1 mixture of lipiodol:n-BCA. Postembolization venogram was performed.

The microcatheter was then redirected to select the right anterior superior portal vein. Position was confirmed diagnostic venography.

Selective embolization of this branch was carried out using a 6:1 mixture of lipiodol:n-BCA. Postembolization venogram was performed.

The microcatheter was then redirected to select the right anterior inferior portal vein branch. Position was confirmed with diagnostic venography.

Selective embolization of this branch was carried out using a 6:1 mixture of lipiodol:n-BCA. Postembolization venogram was performed.

Tract embolization was performed with coils. Postembolization radiograph was performed.

FINDINGS: Initial venography demonstrates patent main portal vein with hepatopedal flow as well as right and left portal vein branches. Postembolization radiograph demonstrates adequate right portal vein embolization.

IMPRESSION: Successful right portal vein embolization.
 
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