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Old 04-24-2013, 11:59 AM
Rita Bartholomew's Avatar
Rita Bartholomew Rita Bartholomew is offline
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Default pseudoaneurysm coding

Indication: left femoral vein pseudoaneurysm

The radiologist accessed the right common femoral vein, cath'd the left common femoral vein and used a balloon to slow blood flow into the left profunda femoral branch AV fistula and flow within the pseudoaneurysm. He then notes that US-guided compression of the pseudoaneurysm was not possible prior to the thrombin injection; however, following injection, it was compressible. US-guided compression was then held for 30 minutes.

Can the balloon be reported as a venous angioplasty? If not, how would it be reported? With a 22 modifier? This was definitely more work than the normal case. Would both the thrombin injection and US-guided compression be reported?
RCBartholomew, CPC-H, CEDC
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