aunderhill
Networker
Hello, can I bill IVUS 37252 with a stent -37221. "Intravascular ultrasound was performed on the iliofemoral system for proper sizing. The IVUS catheter was removed." Is this acceptable, if not what is needed? Or is IVUS bundled. I am getting conflicting information. Thank you in advance!
DESCRIPTION OF PROCEDURE: After informed consent was obtained, the patient was taken to the cardiac catheterization lab. Conscious sedation was provided by trained nurse for a total of 2 hours. The left groin area was prepped and draped in sterile fashion. Approximately 10 mL of 1% lidocaine were used for local anesthesia. Using ultrasonic guidance and micropuncture technique, the left common femoral artery was cannulated with a 5-French sheath. An Omniflush catheter was advanced to the abdominal aorta. Abdominal aortography was performed. It was brought down to the bifurcation. Automated bolus chase angiography was performed on both legs. The images were reviewed. The Omniflush was removed. The 5-French sheath was exchanged for a 7-French sheath. Intravascular ultrasound was performed on the iliofemoral system for proper sizing. The IVUS catheter was removed. The lesion was predilated with a 6 x 80 mm balloon. Next, an 8 x 40 mm self-expanding stent was aligned with minimal overlap of the previously placed common iliac stent and deployed. Post-dilatation was performed with a 7 mm balloon at the overlap of the 2 stents. Final angiography was performed. The sheath was removed and a Perclose device was placed for good hemostasis. The patient tolerated the procedure well. There were no complications. He was transferred in stable condition to the recovery area.
DESCRIPTION OF PROCEDURE: After informed consent was obtained, the patient was taken to the cardiac catheterization lab. Conscious sedation was provided by trained nurse for a total of 2 hours. The left groin area was prepped and draped in sterile fashion. Approximately 10 mL of 1% lidocaine were used for local anesthesia. Using ultrasonic guidance and micropuncture technique, the left common femoral artery was cannulated with a 5-French sheath. An Omniflush catheter was advanced to the abdominal aorta. Abdominal aortography was performed. It was brought down to the bifurcation. Automated bolus chase angiography was performed on both legs. The images were reviewed. The Omniflush was removed. The 5-French sheath was exchanged for a 7-French sheath. Intravascular ultrasound was performed on the iliofemoral system for proper sizing. The IVUS catheter was removed. The lesion was predilated with a 6 x 80 mm balloon. Next, an 8 x 40 mm self-expanding stent was aligned with minimal overlap of the previously placed common iliac stent and deployed. Post-dilatation was performed with a 7 mm balloon at the overlap of the 2 stents. Final angiography was performed. The sheath was removed and a Perclose device was placed for good hemostasis. The patient tolerated the procedure well. There were no complications. He was transferred in stable condition to the recovery area.
