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37224

  1. #1
    Exclamation 37224
    Medical Coding Books
    Is it appropriate to code this as 37224?

    PROTOCOL: After the patient was brought to the cath lab the right groin
    was prepped and then a 5-French sheath inserted using an OmniFlush wire.
    A glide wire was advanced passed into the left iliac artery and
    subsequently the catheter was placed above the common femoral arteries.
    Imaging revealed patency of the superficial femoral artery and then
    subsequently the lesion was identified, it was a diffusely disease
    superficial femoral artery but predominantly a 99% stenosis is present
    in the distal superficial femoral artery at the adductor canal. This
    was dealt with a 6-French angled destination sheath and then
    subsequently a .014 quidewire was advanced and lesion was crossed and
    was placed in position distally and then a 4 x 60 balloon was advanced
    into position in the lesion and dilated multiple times and then
    subsequently pulled back and dilated in the middle part of the
    superficial femoral artery as well. Excellent result was present with
    no residual narrowing. There was no dissection or thrombus in the
    lesion or distal to vessels. At this point, the entire assembly was
    removed.

    IMPRESSION:

    SUCCESSFUL PTA OF THE SUPERFICIAL FEMORAL ARTERY WITH USING
    CONTRALATERAL APPROACH WITH 4 X 60 BALLOON WITH STENOSIS REDUCTION FROM
    99% TO LESS THAN 20% RESIDUAL WITH EXCELLENT BRISK FLOW DISTALLY.

  2. #2
    Location
    Birmingham, Alabama
    Posts
    889
    Default
    Quote Originally Posted by amym View Post
    Is it appropriate to code this as 37224?

    PROTOCOL: After the patient was brought to the cath lab the right groin
    was prepped and then a 5-French sheath inserted using an OmniFlush wire.
    A glide wire was advanced passed into the left iliac artery and
    subsequently the catheter was placed above the common femoral arteries.
    Imaging revealed patency of the superficial femoral artery and then
    subsequently the lesion was identified, it was a diffusely disease
    superficial femoral artery but predominantly a 99% stenosis is present
    in the distal superficial femoral artery at the adductor canal. This
    was dealt with a 6-French angled destination sheath and then
    subsequently a .014 quidewire was advanced and lesion was crossed and
    was placed in position distally and then a 4 x 60 balloon was advanced
    into position in the lesion and dilated multiple times and then
    subsequently pulled back and dilated in the middle part of the
    superficial femoral artery as well. Excellent result was present with
    no residual narrowing. There was no dissection or thrombus in the
    lesion or distal to vessels. At this point, the entire assembly was
    removed.

    IMPRESSION:

    SUCCESSFUL PTA OF THE SUPERFICIAL FEMORAL ARTERY WITH USING
    CONTRALATERAL APPROACH WITH 4 X 60 BALLOON WITH STENOSIS REDUCTION FROM
    99% TO LESS THAN 20% RESIDUAL WITH EXCELLENT BRISK FLOW DISTALLY.
    Yes.

    HTH
    Danny L. Peoples
    CIRCC,CPC

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