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pelvic aortogram

  1. Default pelvic aortogram
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    Do we need to code pelvic aortogram(75736) for the below procedure??

    Access to the right common femoral artery was achieved using
    Seldinger technique. A 5F vascular sheath was advanced.
    Catheterization of the superior mesenteric artery was performed
    and a superior mesenteric arteriogram was performed in the frontal
    projection. Catheterization of the celiac trunk was performed and
    a celiac arteriogram was performed in the frontal projection.
    Attempt was made to catheterize the inferior mesenteric artery,
    but was unsuccessful. Pelvic aortogram was performed.
    Prabha CPC

  2. #2
    Default
    Quote Originally Posted by prabha View Post
    Do we need to code pelvic aortogram(75736) for the below procedure??

    Access to the right common femoral artery was achieved using
    Seldinger technique. A 5F vascular sheath was advanced.
    Catheterization of the superior mesenteric artery was performed
    and a superior mesenteric arteriogram was performed in the frontal
    projection. Catheterization of the celiac trunk was performed and
    a celiac arteriogram was performed in the frontal projection.
    Attempt was made to catheterize the inferior mesenteric artery,
    but was unsuccessful. Pelvic aortogram was performed.
    The code 75736 is for a selective pelvis angiogram. Since the exam has gone selective, you can't code for a aortogram. So you have 36245, 36245-59, 75726, 75726-59 for celiac and sma angiogram.

  3. #3
    Default Slg
    Your description of the procedure only involved Visceral vessels, so you would not code anything for the pelvis. Because the studies are selective has no bearing on what can be billed in addition to the visceral studies done. Not all S&I codes will have a corresponding catheterization code.

  4. Default
    Thanks all......
    Prabha CPC

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