Can I please get assistance with the CPT codes.
Procedure performed:
Left subclavian vein angiography, angioplasty and stent
Description:
After the appropriate consent was obtained, the patient was sedated with 2 mg of versed intravenously and then 50 micrograms of fentanyl were given intravenously. Half an hour later another 50 mcg of fentanyl were administered intravenously. Local Xylocaine was given in the right groin. A 6-french sheath was placed in the right femoral artery. A pigtail catheter was used for angiography of the aortic arch that showed occlusion of the left subclavian artery. Then local Xylocaine was given in the left wrist and a 5-french sheath was placed in the left radial artery. A Vert catheter was used for the angiography of the left subclavian that showed occlusion before the bifurication into the vertebral and the main subclavian. Then an Advantage wire was used to cross the occlusion and then an angioplasty was performed with a 5x20 balloon with good results. Then a stent was deployed because there was still a residual lesion and it was a 6x27 balloon expandable stent with excellent results with no residual as confirmed by repeat left subclavian vein angiography. The right groin was closed with angio-seal. There were no complications. The patient tolerated the procedure well.
Would I code
36225
37236
or
36215
75710
37236
Do I also code the aortic arch 93567
Thank you for your help!!
Procedure performed:
Left subclavian vein angiography, angioplasty and stent
Description:
After the appropriate consent was obtained, the patient was sedated with 2 mg of versed intravenously and then 50 micrograms of fentanyl were given intravenously. Half an hour later another 50 mcg of fentanyl were administered intravenously. Local Xylocaine was given in the right groin. A 6-french sheath was placed in the right femoral artery. A pigtail catheter was used for angiography of the aortic arch that showed occlusion of the left subclavian artery. Then local Xylocaine was given in the left wrist and a 5-french sheath was placed in the left radial artery. A Vert catheter was used for the angiography of the left subclavian that showed occlusion before the bifurication into the vertebral and the main subclavian. Then an Advantage wire was used to cross the occlusion and then an angioplasty was performed with a 5x20 balloon with good results. Then a stent was deployed because there was still a residual lesion and it was a 6x27 balloon expandable stent with excellent results with no residual as confirmed by repeat left subclavian vein angiography. The right groin was closed with angio-seal. There were no complications. The patient tolerated the procedure well.
Would I code
36225
37236
or
36215
75710
37236
Do I also code the aortic arch 93567
Thank you for your help!!