Rita Bartholomew
Guru
Indication: left femoral vein pseudoaneurysm
The radiologist accessed the right common femoral vein, cath'd the left common femoral vein and used a balloon to slow blood flow into the left profunda femoral branch AV fistula and flow within the pseudoaneurysm. He then notes that US-guided compression of the pseudoaneurysm was not possible prior to the thrombin injection; however, following injection, it was compressible. US-guided compression was then held for 30 minutes.
Can the balloon be reported as a venous angioplasty? If not, how would it be reported? With a 22 modifier? This was definitely more work than the normal case. Would both the thrombin injection and US-guided compression be reported?
The radiologist accessed the right common femoral vein, cath'd the left common femoral vein and used a balloon to slow blood flow into the left profunda femoral branch AV fistula and flow within the pseudoaneurysm. He then notes that US-guided compression of the pseudoaneurysm was not possible prior to the thrombin injection; however, following injection, it was compressible. US-guided compression was then held for 30 minutes.
Can the balloon be reported as a venous angioplasty? If not, how would it be reported? With a 22 modifier? This was definitely more work than the normal case. Would both the thrombin injection and US-guided compression be reported?