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How would you code this! - micropuncture technique

  1. #1
    Richmond Virginia
    Question How would you code this! - micropuncture technique
    Exam Training Packages
    Technique: After the risks, benefits and alternatives were explained
    the patient and written, informed consent was obtained, the patient
    was placed supine on the fluoroscopic table. The groin was prepped
    and draped in sterile fashion and 1% lidocaine was used for local
    anesthesia. With micropuncture technique the right common femoral
    artery was accessed and a guidewire was placed. Over the wire
    exchange for a 5 French sheath through which a 4 French Omni flush
    catheter was made. An abdominal aortogram was performed. The catheter
    was withdrawn to the bifurcation and pelvic arteriogram was
    performed. Utilizing up and over technique the left external iliac
    artery was selected and a left lower extremity runoff was performed.
    The catheter was withdrawn into the right external iliac artery and a
    right lower extremity runoff was performed. The catheter was removed
    and 6 French AngioSeal was used to achieve hemostasis. There were no
    complications and the patient tolerated the procedure well

  2. #2
    Tyler, Texas
    I just have a 2010 CPT here at the moment, but I believe the catheterization and contrast study of the aorta would be 36200, and the first external iliac (the left) would be 36246, since this is a second order vessel. The right external iliac would be the add on code of 36248. I don't think these codes would have change in 2011, but double check to be sure. This is assuming you are coding the provider actually performing the study and NOT radiologic supervision and interpretation.

  3. #3
    I would code 75625/75716/36246.

  4. #4
    Quote Originally Posted by MLS2 View Post
    I would code 75625/75716/36246.
    I'd seconded that!

    Jim Pawloski, CIRCC

  5. #5
    75625, 75717, 75774, & 36246

  6. #6
    Austin, TX
    75625, 75716, 75774, 36246, g0269
    Last edited by nelcap; 04-26-2011 at 08:20 PM.

  7. #7
    Quote Originally Posted by nelcap View Post
    75625, 75716, 75774, 36246, g0269
    Can't use 75774 since the catheter was not moved into a more selective position.

    Jim Pawloski, CIRCC, R.T. (R)(CV)

  8. #8
    Austin, TX
    it says external iliac was selected, you add 75774

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