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Thread: Brachiocephalic arteriogram

  1. #1

    Default Brachiocephalic arteriogram

    AAPC: Back to School
    How to code S & I for Brachiocephalic arteriogram.
    The patient was prepped and draped
    appropriately and after infiltration with local anesthesia, the
    right common femoral artery was punctured with a micropuncture set
    to introduce a 5-French sheath. Through this a 5-French
    Berenstein catheter was passed up the right innominate artery
    where an injection was performed. The catheter was then advanced
    into the right subclavian artery and further injections performed
    in various projections and with filming down the arm.

    After the filming and attempt was made to cross the complete
    occlusion without success.


    Brachiocephalic arteriogram.

    No abnormality is seen in the proximal carotid or subclavian

    Right subclavian arteriogram.

    There is minimal irregularity inferiorly just distal to the
    internal mammary artery. There is complete occlusion of the
    artery with the appearance of thrombus just distal to the lateral
    thoracic artery. Collaterals are well developed around the
    shoulder to reconstitute the brachial artery 7 cm distally. There
    is thrombus at the origin of the lateral circumflex humeral
    artery. Filming down the brachial artery demonstrates complete
    occlusion of the radial artery just distal to its origin.
    Shirley CPC,CPC-H

  2. #2


    I'm thinking 75710/36216

  3. #3

    Default brachiocephalic arteriogram

    This report reflects a unilateral extremity arteriogram from the cath placment and injection in the right innominate artery. In addition the catheter was advanced to the right subclavian artery with further injections and imaging. This would be reported with 75710 for the initial extremity arteriogram from the innominate cath placement and injection. The additional "selective" arteriogram from the cath placement and injection in the subclavian artery would be reported with 75774. The only cath placement to report is 36216 for the cath placement to the subclavian.

  4. #4


    Shirley CPC,CPC-H

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