Ask Dr. Z

For the following I think codes 37236 and 36246 are correct, but I would like to be sure. Patient has a non-functional pancreas transplant, and the physician placed a stent to occlude the transplant artery. This was done preoperatively so they can removed the transplanted pancreas. "Procedure: Angiogram was performed and demonstrated the transplant pancreas artery to be originating from the proximal third to mid portion of the right external iliac artery. OmniFlush catheter was exchanged for a Bern catheter, which was positioned in the proximal external iliac artery. Angiogram was performed. Exact location of the origin of the transplant pancreas artery was determined. Roadmap was created. SupraCore wire was placed. Balkan sheath was used to cross over the aortic bifurcation and placed into the external iliac artery. Appropriate measurements were made for stent placement on angiogram and prior CT. A 9 mm x 29 mm Viabahn VBX stent was then placed in the right external iliac artery centered on the origin of the transplant pancreas artery."