hwilcox07
Networker
Any help with this case would be greatly appreciated 
I shortened the report as much as possible because it was forever long. I got the following codes:
36246, 36246-59 x5, 75726, 75774, 75774-59 x 5
Does this look correct?
PROCEDURE: SMA angiography, individual SMA branch angiography including the ileocolic, middle colic, 4 separate intestinal branches, & gastroduodenal/small bowel sidebranches from a replaced hepatic artery. Patient placed in supine position and right groin prepped. The right groin was punctured and a right lower extremity angiography performed. RLE ANGIOGRAPHY: Study demonstrates a widely patent external iliac and common femoral artery. Puncture site should be good for a Minx Grip. SMA ANGIOGRAPHY: Injection of the SMA demonstrates a normal branching pattern. Initially it was thought to be some blush by the replaced RHA.A microcatheter was directed into the duodenal/small bowel branches from the replaced hepatic artery and injection performed in 2 planes demonstrating no definite contrast extravasation. Subsequently the ileocolic, middle colic, 4 intestinal branches of the SMA were individually selectively cannulated and injected and no definite bleeding site was seen. Successful SMA angiography.
I shortened the report as much as possible because it was forever long. I got the following codes:
36246, 36246-59 x5, 75726, 75774, 75774-59 x 5
Does this look correct?
PROCEDURE: SMA angiography, individual SMA branch angiography including the ileocolic, middle colic, 4 separate intestinal branches, & gastroduodenal/small bowel sidebranches from a replaced hepatic artery. Patient placed in supine position and right groin prepped. The right groin was punctured and a right lower extremity angiography performed. RLE ANGIOGRAPHY: Study demonstrates a widely patent external iliac and common femoral artery. Puncture site should be good for a Minx Grip. SMA ANGIOGRAPHY: Injection of the SMA demonstrates a normal branching pattern. Initially it was thought to be some blush by the replaced RHA.A microcatheter was directed into the duodenal/small bowel branches from the replaced hepatic artery and injection performed in 2 planes demonstrating no definite contrast extravasation. Subsequently the ileocolic, middle colic, 4 intestinal branches of the SMA were individually selectively cannulated and injected and no definite bleeding site was seen. Successful SMA angiography.