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Peripheral angiogram

  1. Default Peripheral angiogram
    Medical Coding Books
    Another new one....Need help coding

    PROCEDURE: PERIPHERAL ANGIOGRAM.

    DESCRIPTION PROCEDURE: Adequate IV sedation. Lidocaine into right groin. Seldinger
    technique 6 french sheath placed in common femoral artery
    w.o complications. Exchanges done over wire, first pigtail
    place din aorta and aortogram was performed of renal
    and infrarenal aorta. Pigtail pulled back and nonselective
    bollus chase method used to perform angiograms of both
    legs. Selective angiogram of left leg perfromed using a VS
    catheter to engage left common iliac. Microcatheter was
    placed and selective angiograms of common femoral as well
    as popliteal were performed w/ microcatheter as distal
    as the distal SFA.

    PROCEDURES DONE: AORTOBIFEMORAL ANGIOGRAM W. NONSELECTIVE ANGIOGRAM
    BOTH LEGS

    SELECTIVE ANGIOGRAM L/LEG W/SELECTIVE ANGIOGRAM OF
    FEMORAL POPLITEAL BYPASS GRAFT W/CATHETER IN LEFT
    BYPASS GRAFT.

    PTCA/ANGIOPLASTY OF PROXIMAL LESION OF FEMORAL
    POPLITEAL BYPASS

    PTCA/ANGIOPLASTY OF PROXIMAL 70% OCCULSION OF
    POPLITEAL ARTERY, LEFT.

    INTERVENTIONAL PROCEDURE/ANATOMY: Aortogram demonstrated patent bilateral
    renal arteries 40-50% proximal l/renal
    stenosis, bilateral access revealerenal
    artery supplying lower lobe which is free
    of disease. Infrrenal aorta mild disease.
    It bifurcates into common ilian system
    bilaterally. On the right, right common
    bifurcates into common iliac bilaterally.
    Right internal ilian has ostia 90% lesion.
    RIght external ilian is patent w/mild disease.
    Right SFA occluded and fills retrograde. No
    bypass graft was bisulized. Extensive
    collateralization form deep system and
    supplies below knee amputation. Left side
    left common iliac is patent. Left external
    and internal iliac are patent. Left SFA is
    occluded and has a fem pop bypass graft,
    which retrograde fills distal SFA. The
    promal/ostial portion of the fem pop bypass
    graft has eccentric 80% lesion. Popliteal has
    two sequential lesions a proximal 70-80%
    lesion followed by more distal 50% lesion.
    Only one vessel runoff of the infropopliteal
    region w/anterior tibial which supplies the foot.
    Proximal 70% lesion in the anterior tibial, small
    vessel. Posterior tibial and the tibial peroneal
    peroneal trunk is occluded. Extensive
    collateralization.

    As always your help is greatly appreciate.

  2. Default peripheral angiogram
    Is there anybody out there that can help me with this?

  3. #3
    Default
    Quote Originally Posted by cardiology101 View Post
    Another new one....Need help coding

    PROCEDURE: PERIPHERAL ANGIOGRAM.

    DESCRIPTION PROCEDURE: Adequate IV sedation. Lidocaine into right groin. Seldinger
    technique 6 french sheath placed in common femoral artery
    w.o complications. Exchanges done over wire, first pigtail
    place din aorta and aortogram was performed of renal
    and infrarenal aorta. Pigtail pulled back and nonselective
    bollus chase method used to perform angiograms of both
    legs. Selective angiogram of left leg perfromed using a VS
    catheter to engage left common iliac. Microcatheter was
    placed and selective angiograms of common femoral as well
    as popliteal were performed w/ microcatheter as distal
    as the distal SFA.

    PROCEDURES DONE: AORTOBIFEMORAL ANGIOGRAM W. NONSELECTIVE ANGIOGRAM
    BOTH LEGS

    SELECTIVE ANGIOGRAM L/LEG W/SELECTIVE ANGIOGRAM OF
    FEMORAL POPLITEAL BYPASS GRAFT W/CATHETER IN LEFT
    BYPASS GRAFT.

    PTCA/ANGIOPLASTY OF PROXIMAL LESION OF FEMORAL
    POPLITEAL BYPASS

    PTCA/ANGIOPLASTY OF PROXIMAL 70% OCCULSION OF
    POPLITEAL ARTERY, LEFT.

    INTERVENTIONAL PROCEDURE/ANATOMY: Aortogram demonstrated patent bilateral
    renal arteries 40-50% proximal l/renal
    stenosis, bilateral access revealerenal
    artery supplying lower lobe which is free
    of disease. Infrrenal aorta mild disease.
    It bifurcates into common ilian system
    bilaterally. On the right, right common
    bifurcates into common iliac bilaterally.
    Right internal ilian has ostia 90% lesion.
    RIght external ilian is patent w/mild disease.
    Right SFA occluded and fills retrograde. No
    bypass graft was bisulized. Extensive
    collateralization form deep system and
    supplies below knee amputation. Left side
    left common iliac is patent. Left external
    and internal iliac are patent. Left SFA is
    occluded and has a fem pop bypass graft,
    which retrograde fills distal SFA. The
    promal/ostial portion of the fem pop bypass
    graft has eccentric 80% lesion. Popliteal has
    two sequential lesions a proximal 70-80%
    lesion followed by more distal 50% lesion.
    Only one vessel runoff of the infropopliteal
    region w/anterior tibial which supplies the foot.
    Proximal 70% lesion in the anterior tibial, small
    vessel. Posterior tibial and the tibial peroneal
    peroneal trunk is occluded. Extensive
    collateralization.

    As always your help is greatly appreciate.
    36247,75625,75716,75774
    HTH,
    Jim Pawloski, CIRCC

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