Wiki Help with Coding

[todd5400]

The RT common femoral artery was accessed, dilated to 5 French sheath. A 5 French Mikaelsson catheter was used to selectively catheterize the T7-T12 and L1 segmental vessels on the right side as well as the T6-T12 segmental vessels on the left side. Individual selective runs were performed. No dural AV fistulas were identified. Previously embolized level at T8 showed no evidence of recurrence of the dural AV fistula nor was there any evidence of filling of the dural AV fistula from left T8 injections or right T9 injections. The artery of Adamkiewicz arises from the left T9 segmental vessel. Without abdominal aortic runoffs were performed to see if a fistula could be identified elsewhere and this proved unsuccessful. We were reaching the limits of the contrast threshold as well as the patient's tolerance for the procedure and was discontinued at this point.

Thanks

 

[Jim Pawloski]

The RT common femoral artery was accessed, dilated to 5 French sheath. A 5 French Mikaelsson catheter was used to selectively catheterize the T7-T12 and L1 segmental vessels on the right side as well as the T6-T12 segmental vessels on the left side. Individual selective runs were performed. No dural AV fistulas were identified. Previously embolized level at T8 showed no evidence of recurrence of the dural AV fistula nor was there any evidence of filling of the dural AV fistula from left T8 injections or right T9 injections. The artery of Adamkiewicz arises from the left T9 segmental vessel. Without abdominal aortic runoffs were performed to see if a fistula could be identified elsewhere and this proved unsuccessful. We were reaching the limits of the contrast threshold as well as the patient's tolerance for the procedure and was discontinued at this point.

Thanks

You would code each vessel that is selected and spinal arteriogram for each vessel that was imaged.
HTH,
Jim Pawloski, CIRCC