First of all, I need to know where access was done. Were both femoral arteries accessed, or just one, and in what direction (antigrade or retrograde). Second, since you list both right and left femoral angiography (75710), then bilateral extremity angio (75716), the 75716 takes care of 75710. Now for the interventions. Was the doctors intention to stent the right SFA? If it was, you can not bill for angioplasty, unless the states that there was a dissection, or greater than 80 per cent stenosis after the angioplasty (I hate the comment of suboptimal results used without stating what was found or why).
The sheath shot is part of the vascular closure (G0290), and cannot be billed. If that was the puncture, then the catheter code would be 36247.
I hope this will help you out somewhat, but more information is needed.
Jim Pawloski, CIRCC, R.T. (R)(CV)
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