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Popliteal Stenting

  1. #1
    Melbourne, Florida
    Red face Popliteal Stenting
    Medical Coding Books
    This is a big favor..

    If anyone has the time to share their expertise I would be very appreciative. I was advised how to code this two entirely different ways including
    codes that don't appear to match the lower extremities.
    Also the dx: popliteal anuerism (442.3) is not included in the Cardio/Vascular/Thoracic Coding Companion in some of the CPT codes for example 34805 does not allow 442.3.

    This is what I came up with:
    35151-LT (would like to use 34805 to describe the stent but it =abdominal)


    Left SFA/popliteal angiogram and left popliteal stenting with
    endovascular Viabahn covered stent.

    Left popliteal aneurysm.

    Left popliteal aneurysm.

    The patient was prepped and draped in the usual sterile fashion.
    After adequate local anesthesia with 2% Xylocaine, the left femoral
    artery was cannulated with a 4-French sheath. Next, a 6-French
    sheath was exchanged and a Perclose device was then deployed, after
    which, it was exchanged for a 9-French sheath, and then angiogram was
    performed of the left SFA into the popliteal/trifurcation region.
    There appeared to be a large left popliteal aneurysm noted. It was
    then covered with a 9 x 150 Viabahn endovascular covered stent. It
    was then post angioplasties with a 10 mm x ______ mm balloon at both
    the distal and proximal tips. Follow-up angiography showed
    well-deployed stent. The aneurysm had now resolved. It was well
    covered at its origin and at the distal anastomosis site. No
    endovascular leak was noted. After which, the Perclose was used to
    close the common femoral artery with an excellent result. No
    complications were noted.

    1. Left popliteal aneurysm.
    2. Successful stenting with a Viabahn endovascular covered
    stent which was 9 x 150, which successfully covered the entire
    aneurysmal segment.
    3. Final angiogram showed well-apposed stent struts with no
    endovascular leak and excellent/normal flow.
    4. Successfully Perclosed at the termination of the procedure
    without any complications.

    DENISE (studying for the CPC and CCC / CCVTC exams)
    Last edited by Pillow1; 12-01-2009 at 02:24 PM.

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