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IVC Filter Placement

  1. #1
    Question IVC Filter Placement
    Medical Coding Books
    I need help coding this, please. This was done at time of CATH. I did not include a CATH report!


    Indication: Deep venous thrombosis and pulmonary embolus in the
    setting of a patient who has a history of gastrointestinal bleeding
    and is not a candidate for long-term anticoagulation.

    Procedure And Findings: After written and informed consent was
    obtained, the patient was brought to the endovascular lab, and the
    right internal jugular artery area was prepped and draped in usual
    sterile fashion. Under ultrasound guidance, the right internal
    jugular artery was cannulated without difficulty using a
    micropuncture needle, and using a dilator, a guidewire was advanced,
    and an Eclipse inferior vena cava filter sheath was placed under
    fluoroscopic guidance, and then subsequently, CO2 contrast was used
    for imaging. Imaging revealed presence of the inferior vena cava
    filter and identification of the renal vein takeoff. Subsequently,
    the catheter tip was placed at the desired level, and the inferior
    vena cava filter then was positioned and deployed with excellent
    deployment, following which imaging was performed with CO2 contrast,
    revealing adequate placement of the filter. At this point, the
    entire assembly was removed, and hemostasis was achieved by gentle
    compression. No complications occurred.


    Successful inferior vena cava filter placement using a Bard Eclipse
    system via right internal jugular approach without difficulty or

  2. #2
    Alexandria, LA
    Currently this is coded 36010, 37620 and 75940.
    Beginning in January, this would be 37191 (complete procedure).

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