Wiki How would you code this! - micropuncture technique

Lynda Wetter

True Blue
Local Chapter Officer
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Glen Allen, VA
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Technique: After the risks, benefits and alternatives were explained
the patient and written, informed consent was obtained, the patient
was placed supine on the fluoroscopic table. The groin was prepped
and draped in sterile fashion and 1% lidocaine was used for local
anesthesia. With micropuncture technique the right common femoral
artery was accessed and a guidewire was placed. Over the wire
exchange for a 5 French sheath through which a 4 French Omni flush
catheter was made. An abdominal aortogram was performed. The catheter
was withdrawn to the bifurcation and pelvic arteriogram was
performed. Utilizing up and over technique the left external iliac
artery was selected and a left lower extremity runoff was performed.
The catheter was withdrawn into the right external iliac artery and a
right lower extremity runoff was performed. The catheter was removed
and 6 French AngioSeal was used to achieve hemostasis. There were no
complications and the patient tolerated the procedure well
 
I just have a 2010 CPT here at the moment, but I believe the catheterization and contrast study of the aorta would be 36200, and the first external iliac (the left) would be 36246, since this is a second order vessel. The right external iliac would be the add on code of 36248. I don't think these codes would have change in 2011, but double check to be sure. This is assuming you are coding the provider actually performing the study and NOT radiologic supervision and interpretation.
 
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