OPENSHAW
Guru
Our DR. Did ilaiacs with runoffs- bilateral.
How would i code the attached op report.
The patient has severe stenosis of the right anterior tibial and right peroneal vessels, severe stenosis of the left anterior tibial and left peroneal vessels.
The op report reads as follows:
Under local anesthetic, the left femoral artery was cannulated and a 6 french sheath was introduced, utilizing a 6 short lima guide was advanced under presence of fluoroscopy monitoring to the bifurcation of the aorta. This allowed access into the right iliac artery and a terumo wire allowed advancing this catheter to the origin of the common femoral. Thereafter, drawing 35 ml of visipack, a fat injection was done and runoff was performed from the oriigin of the femoral artery down to the toes. Once it was confirmed that the angiogram was of adequate quality and that the vessels were severely diseased and not suitable for intervention, the catheter was withdrawn and from a sheath, a fat injection was done with runoff to evaluate the left femoral artery down to the toes. Similar findings were noted. It was concluded that the patient was not a candidate for the revascularization from the percutaneous standpoint and was going to be treated medically. Thereafter, an angio-seal was done to allow hemostasis to the site of entry.
Would it be codes 36245 and 75716?
Help???????
Thanks, linda.
How would i code the attached op report.
The patient has severe stenosis of the right anterior tibial and right peroneal vessels, severe stenosis of the left anterior tibial and left peroneal vessels.
The op report reads as follows:
Under local anesthetic, the left femoral artery was cannulated and a 6 french sheath was introduced, utilizing a 6 short lima guide was advanced under presence of fluoroscopy monitoring to the bifurcation of the aorta. This allowed access into the right iliac artery and a terumo wire allowed advancing this catheter to the origin of the common femoral. Thereafter, drawing 35 ml of visipack, a fat injection was done and runoff was performed from the oriigin of the femoral artery down to the toes. Once it was confirmed that the angiogram was of adequate quality and that the vessels were severely diseased and not suitable for intervention, the catheter was withdrawn and from a sheath, a fat injection was done with runoff to evaluate the left femoral artery down to the toes. Similar findings were noted. It was concluded that the patient was not a candidate for the revascularization from the percutaneous standpoint and was going to be treated medically. Thereafter, an angio-seal was done to allow hemostasis to the site of entry.
Would it be codes 36245 and 75716?
Help???????
Thanks, linda.