Wiki Mesenteric Artery Stenting

amym

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Loganville, GA
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Would it be appropriate to code this as 37205? Can I bill for anything else?

The patient was brought to the Endovascular Lab and prepped according to sterile
procedures. Access was obtained in the right common femoral artery
using modified Seldinger technique. Anesthesia used was 1% Lidocaine,
fentanyl and Versed. After access was obtained, a 5 French Omniflush
catheter was placed in the abdominal aorta over an 0.035 inch Storq
wire. After that, abdominal angiogram was obtained which revealed 70%
stenosis in the iliac artery and 90% stenosis of the superior mesenteric
artery. At that point, a 5 French sheath was exchanged for a 7 French
Cordis sheath over an 0.035 wire and a PK1 7 French guide catheter was
used and employed in the abdominal aorta and the distal end of the
interventional catheter was in the ostium of the superior mesenteric
artery. Suggested intervention was carried out through this. A 0.014
BMW wire was used to cross the lesion. A 6 x 40 AVT power-cross balloon
was used to dilate the ostial lesion. After that, a 6 x 21 Paramount
Mini GPS balloon expandable stent was used to stent the ostium of the
superior mesenteric artery. The final picture showed good angiographic
results.
 
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