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