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36246 & 37224

Date: Jan 21, 2019

Question:

"Procedures performed are: 1) Ultrasound-guided right femoral access. 2) Aortoiliac arteriogram. 3) Left lower extremity arteriograms with runoff. 4) Second order cannulation of the left popliteal and superficial femoral arteries. 5) Drug-coated balloon angioplasty of the left superficial femoral artery. Provider documentation: An Omniflush catheter was placed into the visceral segment of the aorta. Aortic and bilateral iliac arteriogram was performed. This revealed a widely patent infrarenal aorta. Patent common iliac arteries on both sides. Patent external iliac arteries and patent bilateral proximal internal iliac arteries. Internal iliac arteries after bifurcation into the anterior and posterior divisions had segmental mild to moderate stenosis. The catheter was then advanced into the left distal external iliac and left lower extremity arteriograms performed. Cath advanced to superficial femoral artery, angio performed and drug coated balloon angio was performed." Can we code 36246-LT for left external iliac angio, 37224, 75625, and 75710? 

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