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Thread: seperate access in the same side can we code

  1. #1

    Default seperate access in the same side can we code

    AAPC: Back to School
    Sorry i think iam the one who putting this much big big reports.
    My doubt here is
    1)in this report can we code 2 angioplasty (angioplasty SFA and popliteal)
    2)can we code 36200-59 for diagnostic angiogram access and intervention is a seperate access on the same side upto popliteal from common femoral 36246.
    Informed consent was obtained. The patient was prepped and draped
    appropriately and after infiltration with local anesthesia the
    left common femoral artery was punctured with a 19 gauge needle
    and a Newton J wire advanced into the abdominal aorta where an
    exchange was made for a 4 French omni flush catheter through which
    contrast was injected. The catheter was then pulled down to the
    left external iliac artery and further injections performed with
    filming down the left leg.
    Aortoiliac segment.

    There is no significant atherosclerotic disease.

    Left leg.

    There is a mild stenosis in the distal common femoral artery
    proximal to the takeoff of the profunda. The superficial femoral
    artery is patent to the distal adductor canal where it is stenotic
    over 5 cm and then there is a short segment occlusion in the
    proximal popliteal artery. The popliteal artery reconstitutes
    above the knee joint and there is 3-vessel runoff to the ankle.
    Left superficial femoral artery angioplasty.

    The previously placed catheter was removed and compression
    applied. After infiltration with local anesthesia an antegrade
    puncture was performed with a micropuncture set to introduce a
    5-French sheath. Over the wire, a Berenstein catheter was
    introduced and a Terumo used to cross the stenosis and the
    occlusion. An exchange was then made over a Rosen wire for a 5-mm
    balloon catheter 4 cm in length. After balloon inflation,
    contrast injection through the sheath demonstrated two residual
    stenoses and the balloon was reintroduced. After a second
    inflation contrast injection through the side-arm of the sheath
    after the balloon was removed demonstrated a good cosmetic result
    and no change in the runoff.

    Left superficial femoral and proximal popliteal artery occlusion
    extending over 8 cm. Primarily successful angioplasty.
    Shirley CPC,CPC-H

  2. #2
    Join Date
    Apr 2007


    Hi codes are,



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