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[heart123]

After written informed consent was obtained, the patient brought to cardiac insertion laboratory in a fasting state. Team timeout performed. Left radial area was prepped and draped in usual sterile manner. Using Ultrasound-guided access with a through-and-through technique with a slender 6-French sheath placed as a Storq wire was then used to navigate into the radial and axillary and subclavian arteries. There was severe tortuosity in the axillary as well as subclavian arteries. I then placed a 4-French multipurpose informed angiography of the axillary artery, as well as the subclavian artery and was able to place the wire inside the aortic root. However, a 5-French JL4 as well as a 4-French JR4 would not track.

Besides 75710-26 can i code for anything else
thanks

 

[smoore123]

Code 757-236 is correct for the left axillary and subclavian angiography. Modifier LT should also be added to specify the side of the study.

The non-selective catheter placement should also be coded. Sindce access was via the left radial artery and a catheter was used for contrast injection in a retrograde direction code 36140 would be assigned. Even though the report doesn't specify how far the catheter was advanced 36140 would be used for any cath placement up to and including the subclavian. He says that a wire was placed in the aorta, but not a catheter, so the code for the aortic catherization can not be assigned.

Kind Regards,
Steph