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aortagram w/ pelvic angio & ULE runoff?

  1. #1
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    Roxboro/Durham NC
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    Default aortagram w/ pelvic angio & ULE runoff?
    Medical Coding Books
    Can I code 75625 with 75736 and 75710?

    FINDINGS OF DIAGNOSTIC AORTOGRAM/ARTERIOGRAM: Patent Aorta and iliac arteries BLE, Patent CFA/PFA on Left, Left SFA mid-stenosis successfully treated with LS-M SH atherectomy/PTA, Patent popliteal with peroneal run-off reconstituting the DPA. Occluded distal ATA successfully recanalized with PTA 2mm. Occluded posterior tibial artery.

    EXAM: Left SFA atherectomy/PTA, Left Anterior tibial PTA
    Medications: Versed 1mg, Fentanyl 50ug, Heparin 5,000U, Protamine 50mg, Optiray 170ml, Fluoro 22min/170.18mGy


    PROCEDURE: After informed consent was obtained the right groin was prepped in a sterile fashion and the right Common Femoral artery was accessed using a micro-puncture set. A 5Fr SOS catheter was placed in the aorta and aortogram performed. The catheter was then brought back to the level of the bifurcation and bilateral pelvic obliques were performed. Left lower extremity run-off was then completed. Selective catheterization of the left Superficial Femoral artery was performed followed by placement of a Balkan sheath and 5,000Units of heparin was given.. Using a 150 cm .018 Quick Cross catheter selective catheterization of the SFA and placed a catheter into the popliteal artery. The ATA was selected and using a .018 Trailblazer the distal ata occlusion was crossed and PTA performed with a 2mm balloon. We then treated the mid-SFA stenosis with SH LSM atherectomy and PTA with 5mm Balloon with excellent results. F /U angiography revealed a widely patent SFA/POP/TP trunk with 2-vessel peroneal and ATA r/o to the foot and no residual stenosis. 50 mg of protamine was given for heparin reversal and a Minxx closure device was used with removal of the sheath.

  2. #2
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    Quote Originally Posted by ttglasscock View Post
    Can I code 75625 with 75736 and 75710?

    FINDINGS OF DIAGNOSTIC AORTOGRAM/ARTERIOGRAM: Patent Aorta and iliac arteries BLE, Patent CFA/PFA on Left, Left SFA mid-stenosis successfully treated with LS-M SH atherectomy/PTA, Patent popliteal with peroneal run-off reconstituting the DPA. Occluded distal ATA successfully recanalized with PTA 2mm. Occluded posterior tibial artery.

    EXAM: Left SFA atherectomy/PTA, Left Anterior tibial PTA
    Medications: Versed 1mg, Fentanyl 50ug, Heparin 5,000U, Protamine 50mg, Optiray 170ml, Fluoro 22min/170.18mGy


    PROCEDURE: After informed consent was obtained the right groin was prepped in a sterile fashion and the right Common Femoral artery was accessed using a micro-puncture set. A 5Fr SOS catheter was placed in the aorta and aortogram performed. The catheter was then brought back to the level of the bifurcation and bilateral pelvic obliques were performed. Left lower extremity run-off was then completed. Selective catheterization of the left Superficial Femoral artery was performed followed by placement of a Balkan sheath and 5,000Units of heparin was given.. Using a 150 cm .018 Quick Cross catheter selective catheterization of the SFA and placed a catheter into the popliteal artery. The ATA was selected and using a .018 Trailblazer the distal ata occlusion was crossed and PTA performed with a 2mm balloon. We then treated the mid-SFA stenosis with SH LSM atherectomy and PTA with 5mm Balloon with excellent results. F /U angiography revealed a widely patent SFA/POP/TP trunk with 2-vessel peroneal and ATA r/o to the foot and no residual stenosis. 50 mg of protamine was given for heparin reversal and a Minxx closure device was used with removal of the sheath.
    I would not bill the 75625, since the renals were not described, or would I bill 75736 since the internal iliac was not catheterized. So you have a PTA of the anterior tibial artery, atherectomy & stent of lt SFA, and unilateral extremity arteriogram.
    HTH,
    Jim Pawloski, CIRCC, R.T. (CV)

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