Results 1 to 3 of 3

CPT for Femoral Artery Cutdown and Cannulation Only

  1. #1
    Default CPT for Femoral Artery Cutdown and Cannulation Only
    Medical Coding Books
    Hello, any advice on what code to use for a vascular surgeon who did Right femoral artery with femoral artery isolation and cannulation followed by right femoral artery primary repair, hand held ultrasound guidance identification of the femoral artery?

    This was for a tavr procedure, I'm not sure if this was the same session as the TAVR procedure or a separate session, but my surgeon only did the cutdown portion of the procedure, no documentation of tavr surgery involvement, would CPT 34812 work?

    "The patient is a high risk candidate for surgical aortic valve replacement and
    therefore he was a much better candidate for TAVR at this point. With the
    preoperative evaluation, we noted the patient's RV was severely tortuous and
    therefore decided on a primary cutdown with identification and also isolation of
    the right femoral artery.The patient was prepped and draped in the usual
    sterile fashion for the TAVR procedure. After this was ready, we proceeded with
    an ultrasound identification of the location of the right femoral artery.
    Thereafter, incision was then made above the inguinal crease. The femoral
    artery was then identified. Pursestring suture was placed over the left
    preselected area on the femoral artery for cannulation. At the end of procedure
    after the 24-French sheath was then removed the previously placed suture was
    then initially tightened down. Vascular clamp was then placed proximally and
    distally to the femoral artery. Thereafter, the pursestring suture was removed
    and then the artery was then repaired primarily. After completion of the repair,
    the distal femoral artery clamp was first removed followed by the proximal
    femoral clamp. Hemostasis was noted. The cutdown was then reapproximated in 3
    layer fashion."

  2. Default Did you have obtain an answer for your question? I am in need of advice.
    Quote Originally Posted by coffee2day View Post
    Hello, any advice on what code to use for a vascular surgeon who did Right femoral artery with femoral artery isolation and cannulation followed by right femoral artery primary repair, hand held ultrasound guidance identification of the femoral artery?

    This was for a tavr procedure, I'm not sure if this was the same session as the TAVR procedure or a separate session, but my surgeon only did the cutdown portion of the procedure, no documentation of tavr surgery involvement, would CPT 34812 work?

    "The patient is a high risk candidate for surgical aortic valve replacement and
    therefore he was a much better candidate for TAVR at this point. With the
    preoperative evaluation, we noted the patient's RV was severely tortuous and
    therefore decided on a primary cutdown with identification and also isolation of
    the right femoral artery.The patient was prepped and draped in the usual
    sterile fashion for the TAVR procedure. After this was ready, we proceeded with
    an ultrasound identification of the location of the right femoral artery.
    Thereafter, incision was then made above the inguinal crease. The femoral
    artery was then identified. Pursestring suture was placed over the left
    preselected area on the femoral artery for cannulation. At the end of procedure
    after the 24-French sheath was then removed the previously placed suture was
    then initially tightened down. Vascular clamp was then placed proximally and
    distally to the femoral artery. Thereafter, the pursestring suture was removed
    and then the artery was then repaired primarily. After completion of the repair,
    the distal femoral artery clamp was first removed followed by the proximal
    femoral clamp. Hemostasis was noted. The cutdown was then reapproximated in 3
    layer fashion."
    Did you ever receive an answer to your question? I am in need of advice on same question.

  3. #3
    Default
    For a TAVR, a cardiologist and a cardiothoracic surgeon have to be present and both have to dictate. The TAVR codes have to be billed w/modifier 62.
    The standard code is usually 33361 but for an open femoral artery approach it is 33362.
    Margaret, CPC

Similar Threads

  1. Replies: 0
    Last Post: 03-28-2017, 08:37 AM
  2. femoral cutdown without EVAR
    By kimcpccircc in forum Interventional Radiology
    Replies: 1
    Last Post: 06-25-2012, 08:14 AM
  3. Femoral Artery Cutdown
    By czomack in forum Cardiovascular Thoracic
    Replies: 1
    Last Post: 07-08-2011, 08:00 AM
  4. Femoral cutdown with CABG
    By s.greene.cpc in forum Cardiovascular Thoracic
    Replies: 5
    Last Post: 04-03-2010, 05:32 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.