Results 1 to 2 of 2

Bovine arch - please help

  1. #1
    Richardson, TX
    Default Bovine arch - please help
    Medical Coding Books
    RFA access. Pigtail cath tracked into the aortic arch where an arch aortogram was done which demonstrated a type 1-2 bovine arch of the LCCA. Pigtail was exchanged and tracked up into the left subclavian into the ostium of the Left vertebral and injection was done. Catheter repositioned into the RCCA and injection was done. Catheter repositioned in Right vertebral artery and injection done. Cath then repositioned into the LCCA and a 2nd order injection was done.

    The bovine arch really confuses me. I'm not confident of my code selection at all and I can't find any awesome resouces that explain how to choose codes when he does it like this. I'm sure I'm off but this is what I get:

    Lt Vertebral - 36216/75685-26,LT
    Rt CCA - 36217
    Rt Vertebral - This is where I get confused - do I use 36217-59?
    Lt CCA - 36218

    75680 - 26
    75685 - 26, RT
    75685 - 26, LT
    75650 - 26

    Please help!

    Any tips or information about the bovine arch is very much appreciated!
    Julie Graham, BA, CPC, CCC

  2. Default bovine arch
    The right vertebral would be 36218 since it shares the innominate or brachiocephalic origin. I would probably do the rcca as 36218 and the rvert as 36217. It doesn't make much difference but the rvert code is higher rvu than the rcca.
    As for good coding tools, I use the Medlearn vessel charts, but my favorite is and old 2006 chart by medical asset management. I attended an interventional radiology seminar by Medlearn. It was excellent!
    Hope this helps.

Similar Threads

  1. cervicocerebral arch
    By MsAnna in forum Interventional Radiology
    Replies: 2
    Last Post: 02-22-2013, 03:19 PM
  2. Arch Aortogram
    By svevans3 in forum Cardiovascular Thoracic
    Replies: 0
    Last Post: 01-24-2013, 03:35 PM
  3. Carotids - Not Bovine
    By jewlz0879 in forum Cardiology
    Replies: 4
    Last Post: 05-14-2012, 07:11 AM
  4. Carotids - Not Bovine
    By jewlz0879 in forum Cardiovascular Thoracic
    Replies: 1
    Last Post: 05-11-2012, 09:46 AM
  5. Bovine patch angioplasty
    By Leanne in forum Interventional Radiology
    Replies: 3
    Last Post: 09-17-2008, 09:50 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.