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Coding scenario

SuperCoder Posted Tue 22nd of September, 2009 10:13:03 AM

Which CPT codes should I report for the following scenario?
Right common femoral artery was used and a 5 French sheath inserted. I advanced an Omni-flush catheter into the distal aorta and performed an aortoiliac bifemoral angiogram.
Then I passed a wire up and over into the left superficial femoral artery and brought a glide catheter over into the artery and performed a runoff from the SFA down to the feet. Iliac pictures taken on left with an Omni catheter and iliac pictures on right taken through a 5 French sheath. Right leg runoff taken through 5 French sheath.

SuperCoder Answered Tue 10th of November, 2009 11:59:49 AM

Code 36247 covers selective cath placement into the left superficial femoral artery (SFA) from the contralateral right approach. There is no separate payment for the catheter position in the aorta; the applicable coding rules assume that nonselective catheter placement in the aorta is “en route” to any selective catheter placements performed from the same access site. Also code 75630 and code +75774 for the contralateral leg.

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