Wiki percutaneous vs open angioplasty/stent

[vkratzer]

If surgeon does cut down of femoral artery and then places wire up into aorta to do aortogram and then moves into superficial femoral artery to do angioplasty, would this be considered open since he is doing cut down of the artery? I am being told that I should use percutaneous codes but I am thinking I should be using open codes. Please advise.

Thank you.

Vicky

 

[asnelling]

Hi Vicky I agree with you 100%. If the access was by femoral cut-down then it would be open.

 

[vkratzer]

Thank you.

 

[Brooke8565]

Also agree, if there is a cut-down, it is considered open, not percutaneous.

 

[kdunphy]

need additional code

you need to use code 34812, open femoral artery exposure in addition to the percutaneous code

 

[dpumford]

Procedure code 34812 is for Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral. This should not be used with a stent placement. It is used with most often the code range of 34800-34833.

 

[kdunphy]

thanks..you are correct.