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Bronchial artery embolization

  1. Default Bronchial artery embolization
    Medical Coding Books
    37204
    36215X2
    75605-26
    75705-26
    75894-26

    I have the above set of codes for the following procedure.Can anyone pls confirm?

    Procedure: Right Bronchial artery embolization.

    Technique: A 4-French introducer was placed into the right common
    femoral artery under fluoroscopy guidance and exchanged for a
    5-French introducer sheath over the wire. 5-French pigtail
    catheter was placed into the ascending aorta. Nonselective
    angiography of the aorta was performed demonstrating positions of
    the bronchial arteries.

    Using a combination of the 5-French spinal catheter and a
    Glidewire the right intercostal bronchial trunk was accessed.
    Angiography in this catheter position demonstrated markedly
    abnormal vasculature involving the right lung in the distribution
    of the right bronchial artery. No definite spinal artery was
    demonstrated although a questionable tiny arterial branch was seen
    in the distribution of the superior placed intercostal artery on
    the right.

    The right superior intercostal artery was engaged with a
    combination of a 5-French spinal catheter and a 3-French
    microcatheter. Two 3-mm close were deposited in this vessel
    causing its occlusion for the purpose of protection of spinal
    artery in this distribution during embolization of the bronchial
    artery.

    The 3-French coaxial microcatheter was then engaged into the right
    bronchial artery. Under fluoroscopy guidance two vials of
    Embosphere is 500 to 700-mu were carefully instilled into the
    right bronchial artery until complete hemostasis was achieved. No
    reflux was observed.

    The catheter and sheath were removed, and hemostasis achieved by
    manual compression.

    Conclusion: Right bronchial artery angiography demonstrated
    markedly abnormal vessels throughout the right lung. Selective
    right bronchial artery embolization until hemostasis was
    successfully performed.
    Prabha CPC

  2. Default
    It's possible that the Rt bronchial is 2nd order especially since the report originally says there's a trunk. You can also code 75726 for the bronchial angiogram.

    Diane Huston, CPC,RCC

  3. Default
    Thank you....
    Prabha CPC

  4. #4
    Default
    I was thinking the same thing as dhuston...a selective right bronchial angiogram via left or right groin approach is a 36216 (75726)

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