calorom2
Networker
Can anyone suggest any resources/tools etc to assist with coding Peripherals? I seem to struggle with this and would appreciate some guidance assistance or even a note breakdown for reference.
Am I on the right path with the one below?
99152
75630
76937
36247 (not 36200 due to hierarchy?)
Any help would really be appreciated!
PROCEDURES PERFORMED:
1. Left common femoral artery access.
2. Abdominal aortogram.
3. Catheter placement in contralateral SFA.
4. Right lower extremity runoff.
5. Arthrectomy of right SFA.
6. Balloon angioplasty of right SFA.
7. Stent of right SFA.
COMPLICATIONS:
None.
CONSCIOUS SEDATION TIME:
One hour.
Intra-Service start time: 0744
Intra-Service end time: 0844
INDICATION FOR PROCEDURE:
Lifestyle limiting claudication, PAD.
DESCRIPTION OF PROCEDURE:
After informed consent, discussion of risks and benefits, a 5-French
sheath was placed under ultrasound guidance in the left common femoral.
A catheter was placed into the aorta. Abdominal aortography was performed.
Catheter was placed up and over. Selective angiography was performed.
ANGIOGRAPHIC FINDINGS:
Abdominal aorta and bilateral renals are free of significant disease.
Bilateral common and external iliac free of significant disease. Right
common femoral is free of significant disease. Right SFA has a 95%
to 99% subtotal occlusion. There is a stent, which is widely patent.
Runoff is via the anterior tibial, which terminates at the level of
the ankle and reconstitutes via collaterals to feed the feet. The posterior
tibial is totally occluded.
INTERVENTIONAL PROCEDURE:
The patient was anticoagulated to a therapeutic ACT. A 6-French sheath
was placed up and over. We crossed with a Glidewire, which was then
exchanged for a Quick Cross catheter and a filter wire placed distally.
Atherectomy was performed using the SilverHawk device. Eight cuts
were made. Following that, balloon angioplasty was done with a 6.0
x 40 drug coated balloon. There continued to be residual lesion and
a 7.0 x 60 stent was deployed and postdilated with the same 6.0 balloon.
Final angiography showed excellent flow without
evidence of dissection or perforation. Runoff was confirmed to be unchanged.
The sheath was removed and a short sheath placed. There were no complications.
Am I on the right path with the one below?
99152
75630
76937
36247 (not 36200 due to hierarchy?)
Any help would really be appreciated!
PROCEDURES PERFORMED:
1. Left common femoral artery access.
2. Abdominal aortogram.
3. Catheter placement in contralateral SFA.
4. Right lower extremity runoff.
5. Arthrectomy of right SFA.
6. Balloon angioplasty of right SFA.
7. Stent of right SFA.
COMPLICATIONS:
None.
CONSCIOUS SEDATION TIME:
One hour.
Intra-Service start time: 0744
Intra-Service end time: 0844
INDICATION FOR PROCEDURE:
Lifestyle limiting claudication, PAD.
DESCRIPTION OF PROCEDURE:
After informed consent, discussion of risks and benefits, a 5-French
sheath was placed under ultrasound guidance in the left common femoral.
A catheter was placed into the aorta. Abdominal aortography was performed.
Catheter was placed up and over. Selective angiography was performed.
ANGIOGRAPHIC FINDINGS:
Abdominal aorta and bilateral renals are free of significant disease.
Bilateral common and external iliac free of significant disease. Right
common femoral is free of significant disease. Right SFA has a 95%
to 99% subtotal occlusion. There is a stent, which is widely patent.
Runoff is via the anterior tibial, which terminates at the level of
the ankle and reconstitutes via collaterals to feed the feet. The posterior
tibial is totally occluded.
INTERVENTIONAL PROCEDURE:
The patient was anticoagulated to a therapeutic ACT. A 6-French sheath
was placed up and over. We crossed with a Glidewire, which was then
exchanged for a Quick Cross catheter and a filter wire placed distally.
Atherectomy was performed using the SilverHawk device. Eight cuts
were made. Following that, balloon angioplasty was done with a 6.0
x 40 drug coated balloon. There continued to be residual lesion and
a 7.0 x 60 stent was deployed and postdilated with the same 6.0 balloon.
Final angiography showed excellent flow without
evidence of dissection or perforation. Runoff was confirmed to be unchanged.
The sheath was removed and a short sheath placed. There were no complications.