James Posted Tue 26th of September, 2017 13:22:31 PM
The patient was given 2000 units of heparin IV. At that point a 5 fr NEFF catheter was placed into the Aorta in a 2nd order selection to the level of L1 and an Aortogram was performed with CO2.
Findings: The distal aorta looks within mild arterial occlusive limits, the common iliac and external iliac arteries are patent.
Then the NEFF over a 0.035 wire was placed up and over into the left external iliac artery. Then angiography of the left lower extremity was performed.
Findings: Patent PFA, CFA, and SFA.
Then the NEFF was placed over a wire into the SFA in a 5th order selection and angiography was performed.
The popliteal artery is patent. The AT is stenotic proximally and occluded from the mid-distal. Then the TPT trunk origin is noted to be stenotic about 90%. The PT is totally occluded and the Peroneal is patent with proximal stenosis.
Would I code 75630 and 75716 or is 75630 aortogram w/run off bilateral including the angiography?
SuperCoder Answered Wed 27th of September, 2017 07:22:02 AM