Results 1 to 7 of 7

Peripheral vascular coding question

  1. Default Peripheral vascular coding question
    Medical Coding Books
    Could someone code this scenario.
    Pt brought to cath lab. Right common femoral artery was used and a 5 French sheath inserted. First a Omni-flush catheter advanced into distal aorta and aortoiliam bifemoral angiogram performed. then a wire passed up and over into left superficial femoral artery and a glide catheter brought over into the artery and runoff from FFA down to feet performed. Iliac pictures taken on left with an Omni catheter and iliam pictures on right through a 5 French sheath. Right leg runoff taken through 5 French sheath.

    I have coded this, but could use an experieced coder's help.
    thank you.
    Kathy

  2. #2
    Default
    I'm thinking just a 75716 (bi-fem angio) and a 36247 (sfa selection)

  3. #3
    Red face
    I am not that experienced in radiology coding - however, I disagree with the previous person assumption of 75716. This code specifically states bi-lateral,and you plainly state that is was the right femoral artery that was used for this cath procedure. I would venture to say that it should be coded with 75710.
    Felicia A. Thomas, CPC
    Atlanta, GA

  4. Default
    I agree with Mindys except a 75625 would also be allowed because of the aortagram. No where does it say that the intention was a cath, just that the procedure was preformed in the cath lab
    Last edited by lisammy; 08-18-2008 at 06:06 PM. Reason: wanted to add more

  5. #5
    Default
    so do you (lisammy) agree with the 36247 also or no?

  6. #6
    Default
    Right common femoral artery was used and a 5 French sheath inserted. First a Omni-flush catheter advanced into distal aorta and an aortoiliac bi-femoral angiogram was performed (75625). Then a wire passed up and over into left superficial femoral artery and a glide catheter brought over into the artery (36247) and runoff from SFA down to feet performed. Iliac pictures taken on left with an Omni catheter and iliac pictures on right through a 5 French sheath. Right leg runoff taken through 5 French sheath. (75716)

    36247 - Selective cath plcmt into left SFA from contralateral right approach
    75625 - Abdominal aortogram
    75716 - Bilateral lower extremity runoff

    The initial "aortoiliac bifemoral angiogram" is encompassed in 75625. The left SFA is selected (36247) and runoff images of the left lower extremity are obtained. Then the catheter is pulled back and an injection/imaging of the right lower extremity is done through the sheath in the right common femoral artery. (75716) So, you have an abdominal aortography and a bilateral lower extremity runoff angiography with selective repositioning of the catheter into the left SFA.
    Stacy Gregory, CPC, CCC, RCC

  7. #7
    Default
    I agree

Similar Threads

  1. peripheral vascular stent
    By maryann1224@bellsouth.net in forum Cardiology
    Replies: 2
    Last Post: 02-10-2015, 02:08 PM
  2. Diabetes W/Peripheral Vascular Disease Help!
    By medicalbiller36 in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 01-03-2014, 11:23 AM
  3. Need Peripheral Vascular Help!
    By caromissunc1 in forum Cardiovascular Thoracic
    Replies: 2
    Last Post: 02-02-2012, 11:28 AM
  4. peripheral vascular angiography
    By angiecar in forum Interventional Radiology
    Replies: 2
    Last Post: 06-07-2011, 11:55 PM
  5. Peripheral Vascular Coding
    By SantaMaria in forum Cardiology
    Replies: 1
    Last Post: 11-28-2007, 11:28 PM

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?

Login

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.