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rocoder

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Hello everyone,

How would you code this? 36246?


The right groin and right foot were prepped and draped in the usual fashion. Under ultrasound guidance the distal anterior tibial artery at the level of the ankle was accessed with a micropuncture needle. Images were saved for further review of the medical records. A 2.9 French sheath was advanced into the artery and arteriogram was obtained to confirm the intraluminal placement of the sheath. Next 200 mcg of nitroglycerin were administered through the sheath. Next a Cook wire was advanced with the help of the 0.18 CXI catheter to the level of the occluded SFA. Next different wires were utilized including a 0.018 wire, then a 25 g CTO Cook wire and all these wires were unable to cross the lesion despite the support catheter

Thank you for your help,
Catalina
 
Hello everyone,

How would you code this? 36246?


The right groin and right foot were prepped and draped in the usual fashion. Under ultrasound guidance the distal anterior tibial artery at the level of the ankle was accessed with a micropuncture needle. Images were saved for further review of the medical records. A 2.9 French sheath was advanced into the artery and arteriogram was obtained to confirm the intraluminal placement of the sheath. Next 200 mcg of nitroglycerin were administered through the sheath. Next a Cook wire was advanced with the help of the 0.18 CXI catheter to the level of the occluded SFA. Next different wires were utilized including a 0.018 wire, then a 25 g CTO Cook wire and all these wires were unable to cross the lesion despite the support catheter

Thank you for your help,
Catalina

The catheter was only in one vessel, the anterior tibial artery. So you have 36140, 75710, and 76937.
HTH,
Jim Pawloski, CIRCC
 
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