Results 1 to 4 of 4

Coronary Cameral Fistula closure in Cath Lab

  1. #1
    Default Coronary Cameral Fistula closure in Cath Lab
    Medical Coding Books
    Ok, I've got the cath part but the closure is a new one for me and from what I have been given I can't tell if this was a form of a stent? or anything I can bill for? I am billing physician side only so only for the work the physician does not the supplies/drugs etc.

    Anyone familar with this? From what I have found in the internet it is a very rare condition.

    Here is what was documented for this part of the procedure preformed:

    Fistula Closure - 7 Fr EBU 4.5 guide, heparin anticoagulation, PT2 wire was advanced and placed in distal circumflex. Over the wire a Micro catheter was advanced and tip positioned distal circumflex beyond OM 2 origin.

    GDC coils 5mm/10cm, 5mm/9mm, 6mm/11cm were placed with resultant cessation of flow in the distal circumflex resulting in fistula closure.

    Subsequent angiography revealed no upstream complications.

    Thanks!

  2. Default
    this sounds like a coil embolization. look at codes 37204 & 75894. See what you think

  3. #3
    Default
    Hmmm, seems to fit. . .I'll run it by my physician for his thoughts - thankfully he has good basic coding knowledge.

    Thank you!

  4. Smile
    You're Welcome!

Similar Threads

  1. Closure of ileostomy fistula
    By bwilliams1 in forum General Surgery
    Replies: 1
    Last Post: 09-16-2014, 11:31 AM
  2. Closure of Gastrocutaneous Fistula
    By ssmith612 in forum General Surgery
    Replies: 5
    Last Post: 05-07-2013, 06:23 AM
  3. Closure for enterocutaneous fistula?
    By Coder_Rick in forum General Surgery
    Replies: 2
    Last Post: 05-04-2012, 09:29 AM
  4. Closure of Pharyngocutaneous fistula
    By gbaynham in forum ENT/Otolaryngology
    Replies: 0
    Last Post: 01-27-2012, 09:14 AM
  5. Enterocutaneous fistula closure ??
    By Sandi in forum Gastroenterology
    Replies: 0
    Last Post: 09-03-2011, 05:29 PM

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.