Ask Dr. Z

I didn't see any previously answered questions regarding coding for a RVAD and LVAD. "Prior to an angiogram, a right- and left-sided Impella device was placed. The patient was in severe right-sided failure, the left common femoral artery was accessed, and a JR4 cath with a glidewire was advanced across the TAVR valve into the LV and placed the CP Impella device. Once that was completed, they went up from the right side, accessed the right common femoral vein, and angled the balloon cath and guide wire with a J in it all the way distal as we safely could and advanced the device with the tip in the left PA until we were adequately positioned. We had good numbers, and everything was peeled away on both sides and sewn into place. Mattress sutures were done on the right side. At that point we were ready for an angiogram." What would the coding be for this?