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percutaneous vs open angioplasty/stent

  1. Default percutaneous vs open angioplasty/stent
    Medical Coding Books
    If surgeon does cut down of femoral artery and then places wire up into aorta to do aortogram and then moves into superficial femoral artery to do angioplasty, would this be considered open since he is doing cut down of the artery? I am being told that I should use percutaneous codes but I am thinking I should be using open codes. Please advise.

    Thank you.

    Vicky

  2. #2
    Default
    Hi Vicky I agree with you 100%. If the access was by femoral cut-down then it would be open.

  3. Default
    Thank you.

  4. #4
    Location
    Tarrant County, Fort Worth
    Posts
    11
    Default
    Also agree, if there is a cut-down, it is considered open, not percutaneous.

  5. Default need additional code
    you need to use code 34812, open femoral artery exposure in addition to the percutaneous code

  6. Smile
    Procedure code 34812 is for Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral. This should not be used with a stent placement. It is used with most often the code range of 34800-34833.

  7. Default
    thanks..you are correct.

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