Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2019. The coding advice may or may not be outdated.

How is access common femoral artery with stenting of carotid artery coded?

Date: Aug 9, 2019

Question:

How is access common femoral artery with stenting of carotid artery coded? "OPERATIVE PROCEDURE: Patient prepped and draped in the usual sterile fashion. Ultrasound was used for right common femoral arterial access and placement confirmed with fluoroscopy. A wire was advanced into the aorta and catheter advanced into the arch. Using an angled glide wire and glide cath, the right innominate and then subclavian was selected. A stiff wire was advanced down the subclavian and into the brachial artery under direct visualization and a 7 French x 90 cm Ansel sheath was advanced into the innominate. We had been giving heparin since the start of the procedure in compliance with neurology stipulations. With the sheath in the innominate, angiograms were obtained and the exact location of the port entrance was identified. An 8L x 29 mm VBX stent was advanced with some difficulty through the sheath and positioned across the area of injury. Cutdown and angiogram was taken through the port for confirmation of positioning. The stent was deployed and the port removed. Angiogram demonstrated a small leak, so the stent was post-dilated with a 9 mm balloon."

Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!