Results 1 to 3 of 3

Angiogram coding

  1. Default Angiogram coding
    Exam Training Packages
    I would appreciate some help with this one. I have not coded one of these!

    1. Right transthermal cerebral angiogram, supra-selective catheterization multiple thoracic spinal levels. Conscious sedation for 47 minutes
    2. Catherization of the right and left T7, T8, T9, T10 and T11 levels.

    Procedure: With intravenous combination of Versed and Fentanyl using micropuncture technique, the right common femoral artery was accessed, dilated to a 5 french sheath which was connected to a continuous Heparinized flush system. A 5 french Michel-Stein catheter was used. The thoracic and abdominal aortas were extremely atherosclerotic making it difficult to selective catheterize the segmental vessels. During segmental catheterization of the left T10 vessel this was demonstrated to be the artery of adenkavich. Supraselective catheterization of the right T7 segmental vessel revealed a dural AV fistula with the fistula occurring at the level of the pedicle of T7. Runs down at other levels demonstrate atherosclerotic changes in segmental vessels without evidence of dural fistulas.
    Once accomplished all catheters and wires removed.
    Impression: Right T7 segmental vessel leading to dural AV fistula at the right T7 pedicle. The artery of adenkavich arises from the left T10 segmental vessel.

    Thanks in advance
    Mary,CPC

  2. Default
    From what I remember 36215 x10 (you may run into a units issue so you may have to spread them out) 75705 x10 (again you might have to spread these out).

  3. #3
    Default
    Quote Originally Posted by todd5400 View Post
    I would appreciate some help with this one. I have not coded one of these!

    1. Right transthermal cerebral angiogram, supra-selective catheterization multiple thoracic spinal levels. Conscious sedation for 47 minutes
    2. Catherization of the right and left T7, T8, T9, T10 and T11 levels.

    Procedure: With intravenous combination of Versed and Fentanyl using micropuncture technique, the right common femoral artery was accessed, dilated to a 5 french sheath which was connected to a continuous Heparinized flush system. A 5 french Michel-Stein catheter was used. The thoracic and abdominal aortas were extremely atherosclerotic making it difficult to selective catheterize the segmental vessels. During segmental catheterization of the left T10 vessel this was demonstrated to be the artery of adenkavich. Supraselective catheterization of the right T7 segmental vessel revealed a dural AV fistula with the fistula occurring at the level of the pedicle of T7. Runs down at other levels demonstrate atherosclerotic changes in segmental vessels without evidence of dural fistulas.
    Once accomplished all catheters and wires removed.
    Impression: Right T7 segmental vessel leading to dural AV fistula at the right T7 pedicle. The artery of adenkavich arises from the left T10 segmental vessel.

    Thanks in advance
    Mary,CPC

    This one was fun reading. I would bill this as:
    36216 for the supraselective cath of t-7
    36215 - 59 x 9 for selective spinal artery
    75705 x 10 for S&I of spinal arteries.

    I hope this helps,
    Jim Pawloski RT (CV) CIRCC

Similar Threads

  1. Replies: 4
    Last Post: 02-03-2015, 11:32 AM
  2. Replies: 2
    Last Post: 08-28-2013, 09:33 AM
  3. coding echocardiogram and coronary angiogram together
    By akangat in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 02-20-2013, 09:00 AM
  4. angiogram
    By maryann1224@bellsouth.net in forum Cardiology
    Replies: 2
    Last Post: 05-29-2012, 03:18 PM
  5. Help in coding a diagnostic coronary angiogram
    By MGASKILL in forum Cardiology
    Replies: 4
    Last Post: 10-01-2010, 09:07 AM

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.