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Attempted Revascularization

Date: Jan 28, 2019

Question:

The facility charged 36246 and 37224. Does this seem accurate? I was thinking about billing only for the lower extremity angiography. The only vascular catherization documented is “Access – Right fermoral artery”, followed by documentation of fluoroscopy time for and the reported findings of the angiography of both lower extremities, and the following documentation: "Additional Peripheral Intervention Comments: Unsuccessful intervention to left distal SFA. 6 French sheath for up and over, heparin for anticoagulation. Attempted to cross the lesion with Winn and Confianza wire. we went subintimal and then tried to re-enter with a Enteer device but were unsuccessful after several attempts. RECOMMENDATIONS: 1. Will reschedule for CTO intervention with possible pedal/popliteal access."

Question ID : 11904
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