Deaconess Posted Mon 26th of February, 2018 10:15:29 AM
I have a question regarding this procedure on what the cpt is for pressure measurements on the splenic artery? Any help is greatly appreciated! Thanks in advance!
Transverse skin incision was made in the left antecubital fossa and carried
down through the skin and subcutaneous tissue. The left brachial artery was
dissected out circumferentially. The patient was then systemically
heparinized. The left brachial artery was then accessed with an 18-gauge
needle, and 0.035 floppy-tipped wire was advanced into the subclavian
artery under fluoroscopic guidance. A 5-French sheath was placed into the
left brachial artery. A 5-French Kumpe catheter was then advanced into the
left subclavian artery. A 0.035 angled Glidewire was then directed down the
descending thoracic aorta and into the abdominal aorta. A 5-French Kumpe
catheter was then advanced into the abdominal aorta at the level of the
diaphragm. Multiple images were then taken of the abdominal aorta. The
patient had an occlusion of the SMA at the origin and what appeared to be a
widely patent celiac artery along with an inferior mesenteric artery. The
celiac and splenic artery were then cannulated with the 0.035 angled
Glidewire. The Kumpe catheter was then advanced into the splenic artery.
Pressures were then obtained in the splenic artery along with the celiac
axis. The pressures measured 162/52. The catheter was then pulled back into
the aorta. There was no change in the systolic or diastolic pressure upon
pullback into the aorta. The catheter and sheath was then removed. The
arteriotomy was repaired with a 6-0 Prolene suture. The patient had
excellent distal signals. Deep tissue was reapproximated with 3-0 Vicryl
suture. Skin was reapproximated with 4-0 Monocryl suture. Sterile dressings
were applied. The counts were correct at the end the procedure. There were
no immediate complications. Patient tolerated the procedure well.
SuperCoder Answered Tue 27th of February, 2018 06:48:38 AM
AAE does not provide coding for operative reports and chart notes. SuperCoder offers SuperCoding on Demand (SOD) (http://www.supercoder.com/coding-answers/coding-on-demand) for coding of an operative report or chart note and you can
contact (866)228-9252 or e-mail firstname.lastname@example.org for more information. Thanks !!
Deaconess Posted Tue 06th of March, 2018 11:24:21 AM
Good morning~ I just added the note to give more information that goes so I could get what the cpt would be on the pressure measurement on the splenic artery? Are you able to help me with what that would be? That is all I am needing on this. Thank you!
SuperCoder Answered Wed 07th of March, 2018 07:02:34 AM
There is no specific code for splenic artery imaging hence, CPT code 37799 is an appropriate code for the above procedure.
Further query is welcome.
Have a good day.