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Please help!

  1. #1
    Location
    Greeley, Colorado
    Posts
    2,045
    Question Please help!
    Medical Coding Books
    Hopefully someone can give me some guidance without me typing the entire procedure note here

    Pre-op and post-op diagnoses:
    1. Iliac arteriovenous fistula, spontaneous
    2. Iliac vein stenosis
    3. Left hypogastric artery arteriovenous fistula and left circumflex iliac artery arteriovenous fistula

    Operation:
    1. Open access of the femoral arteries bilaterally
    2. Placement of catheter in aorta via left common femoral artery with aortogram
    3. Placement of aortoiliac stent graft
    4. Selective catheterization of the left hypogastric artery via the right common femoral artery with angiogram
    5. Coil embolization of the left hypgastric artery times six
    6. Angioplasty and stenting of the left common iliac vein
    7. Ligation of left circumflex femoral and circumflex iliac arteries

    Codes I have "collected" are: 35189, 35190, 35400, 34201, 34451, 37618. I honestly do not know where to begin with this one! I appreciate any and all guidance!!!
    Lisa Bledsoe, CPC, CPMA

  2. #2
    Location
    Birmingham, Alabama
    Posts
    890
    Default
    Quote Originally Posted by Lisa Curtis View Post
    Hopefully someone can give me some guidance without me typing the entire procedure note here

    Pre-op and post-op diagnoses:
    1. Iliac arteriovenous fistula, spontaneous
    2. Iliac vein stenosis
    3. Left hypogastric artery arteriovenous fistula and left circumflex iliac artery arteriovenous fistula

    Operation:
    1. Open access of the femoral arteries bilaterally
    2. Placement of catheter in aorta via left common femoral artery with aortogram
    3. Placement of aortoiliac stent graft
    4. Selective catheterization of the left hypogastric artery via the right common femoral artery with angiogram
    5. Coil embolization of the left hypgastric artery times six
    6. Angioplasty and stenting of the left common iliac vein
    7. Ligation of left circumflex femoral and circumflex iliac arteries

    Codes I have "collected" are: 35189, 35190, 35400, 34201, 34451, 37618. I honestly do not know where to begin with this one! I appreciate any and all guidance!!!

    Lisa,
    I don't have an answer as this is not my specialty. Have you posted this in the General Surgery section of the forum? Perhaps someone there would have a good answer.
    Danny L. Peoples
    CIRCC,CPC

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Thanks Danny - I did email Jim Pawloski and he was very helpful.
    Lisa Bledsoe, CPC, CPMA

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