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Wiki Venogram with angioplasty

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MADDIE

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Please help with this. Access of the left small saphenous vein at the popliteal fossa then a micropuncture wire followed by a catheter was placed in the popliteal vein. Lower extremity venogram was shot. I then placed a wire and exchanged out for a 4 French sheath. I then placed a glide cath into the left femoral vein and shot another angiogram. It revealed an in-stent stenosis of the common iliac vein. I then treated this with a 10 mm balloon. I then removed the sheath and exchanged out for a short 6-french sheath which was sewn in place.
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36005 (venous cath placement), 75820 (unilateral venogram), 35476 (venous balloon angioplasty), 75978 (angioplasty S&I). I believe 75820 will bundle with 36005, but in the case above I feel you would be justified in unbundling with a 59.

Hope this helps!
 
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