Please clarify the codes for the procedure..
Do we need to code embolization X2.
76937
36216
75710
75756
36246
75726
75774
36245-59
75726-59
36245-59
75705
37204
75894
75898
155.0
PROCEDURE:
1. Left subclavian arteriogram
2. Left internal mammary arteriogram
3. Flush abdomina aortogram
4. Celiac arteri gr m
5. Left inferior phrenic arteriogram
6. Left inferior phrenic artery embolization
7. Right lumbar arteriogram
8. Right lumbar artery embolization
9. Left gastric a rter iogram
male with multifocal hepatocellular carcinoma.
MEDICATIONS C nscious sedation was provided for patient's comfort. Vitals were monitored prior, during and afte th procedure and were stable. Total time of monitored sedation was 90 minutes.
ACCESS SITE: Right common femoral artery
PROCEDURE:
The risks, bene Its, and alternatives to the procedure and sedation were explained to the patient and patient's family, an written informed consent obtained.
The patient was pl ced in supine position on the angiography table and the right groin was prepped
and draped in steril fashion.
The skin and subcutaneous tissue overlying the right common femoral d with 2% lidocaine for local anesthetic. The right common femoral artery was nicropuncture needle. A 0.018 a wire was advanced through the needle into the artery was documented and store to PACS. The needle was exchanged for 5 french transitional catheter. The inner dilator and the 0.018 wire were removed and a 0.035 dvanced into the artery. The transitional catheter was exchanged for 5 French vascular sheath whiich was attached to a pressurized, heparinized bag of normal saline.
5 french catheter was advanced over the wire and used to cannulate the left subclavian ng arteriogram was performed. A high flow renegade microcatheter was coaxially 3 GT Glidewire which was used and the left internal mammary artery. Corresponding rformed. The microcatheter was removed.
the catheter was exchanged for a pigtail catheter. Flush aortogram was performed. The exchanged for a 5 French Mickelson catheter. This catheter was used to axis. Digital subtraction angiography was performed.
en used to select the left inferior phrenic artery. Corresponding arteriogram was low renegade microcatheter was coaxially loaded over a 0.018 GT Glidewire and e artery. This was then embolized with 100 - 300 micron Embosphere particles.
en used to select a collateral right lumbar artery. Corresponding arteriogram was ow renegade microcatheter was coaxially loaded over a 0.018 GT Glidewire and e artery. This was then embolized with 100 - 300 micron Embosphere particles.
ati eter was then used to select the left gastric artery and corresponding arteriogram
re oved and hemo$tasis achieved utilizing manual compression. The patient ce ure well and left the angiography suite in stable condition without any immediate
r plications.
Do we need to code embolization X2.
76937
36216
75710
75756
36246
75726
75774
36245-59
75726-59
36245-59
75705
37204
75894
75898
155.0
PROCEDURE:
1. Left subclavian arteriogram
2. Left internal mammary arteriogram
3. Flush abdomina aortogram
4. Celiac arteri gr m
5. Left inferior phrenic arteriogram
6. Left inferior phrenic artery embolization
7. Right lumbar arteriogram
8. Right lumbar artery embolization
9. Left gastric a rter iogram
male with multifocal hepatocellular carcinoma.
MEDICATIONS C nscious sedation was provided for patient's comfort. Vitals were monitored prior, during and afte th procedure and were stable. Total time of monitored sedation was 90 minutes.
ACCESS SITE: Right common femoral artery
PROCEDURE:
The risks, bene Its, and alternatives to the procedure and sedation were explained to the patient and patient's family, an written informed consent obtained.
The patient was pl ced in supine position on the angiography table and the right groin was prepped
and draped in steril fashion.
The skin and subcutaneous tissue overlying the right common femoral d with 2% lidocaine for local anesthetic. The right common femoral artery was nicropuncture needle. A 0.018 a wire was advanced through the needle into the artery was documented and store to PACS. The needle was exchanged for 5 french transitional catheter. The inner dilator and the 0.018 wire were removed and a 0.035 dvanced into the artery. The transitional catheter was exchanged for 5 French vascular sheath whiich was attached to a pressurized, heparinized bag of normal saline.
5 french catheter was advanced over the wire and used to cannulate the left subclavian ng arteriogram was performed. A high flow renegade microcatheter was coaxially 3 GT Glidewire which was used and the left internal mammary artery. Corresponding rformed. The microcatheter was removed.
the catheter was exchanged for a pigtail catheter. Flush aortogram was performed. The exchanged for a 5 French Mickelson catheter. This catheter was used to axis. Digital subtraction angiography was performed.
en used to select the left inferior phrenic artery. Corresponding arteriogram was low renegade microcatheter was coaxially loaded over a 0.018 GT Glidewire and e artery. This was then embolized with 100 - 300 micron Embosphere particles.
en used to select a collateral right lumbar artery. Corresponding arteriogram was ow renegade microcatheter was coaxially loaded over a 0.018 GT Glidewire and e artery. This was then embolized with 100 - 300 micron Embosphere particles.
ati eter was then used to select the left gastric artery and corresponding arteriogram
re oved and hemo$tasis achieved utilizing manual compression. The patient ce ure well and left the angiography suite in stable condition without any immediate
r plications.