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Thread: Coronary Cameral Fistula closure in Cath Lab

  1. #1
    Join Date
    Apr 2007

    Default Coronary Cameral Fistula closure in Cath Lab

    AAPC: Back to School
    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.


  2. #2


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

  3. #3
    Join Date
    Apr 2007


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

    Thank you!

  4. #4


    You're Welcome!

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