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Braciocephalic Artery

  1. Default Braciocephalic Artery
    Medical Coding Books
    Is cannulating the braciocephalic trunk a first order selective cath placement?

    After coronary angiogram was obtained documentation states:

    "The no-torque wire was used to cannulate the right braciocephalic trunk for which a DSA of the right carotid artery was obtained. The no-torque wire was then placed in the transverse aorta, pointed into the left common carotid where DSA of the left carotid arteries were obtained."

    Do I code for 1st order cath placement? 36215?

  2. #2
    Location
    Birmingham, Alabama
    Posts
    890
    Default
    Quote Originally Posted by AshleyMartin View Post
    Is cannulating the braciocephalic trunk a first order selective cath placement?

    After coronary angiogram was obtained documentation states:

    "The no-torque wire was used to cannulate the right braciocephalic trunk for which a DSA of the right carotid artery was obtained. The no-torque wire was then placed in the transverse aorta, pointed into the left common carotid where DSA of the left carotid arteries were obtained."

    Do I code for 1st order cath placement? 36215?
    Usually the answer is yes, but it depends on the access (femoral vs brachiocephalic etc?). Also, in this example, there is no mention of a catheter although I am unfamiliar with "no-torque wires". I do not code for wire placement.
    HTH
    Danny L. Peoples
    CIRCC,CPC

  3. #3
    Location
    Chennai,Tamilnadu
    Posts
    95
    Smile
    My thoughts,
    only if catheter is moved into brachioephalic we bill 36215,we dont bill for wire placement.

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