Ask Dr. Z

"Needle entry into AV graft, diagnostic angiogram of graft revealed large false aneurysm, which compresses the true lumen by 60%, as well as stenosis in mid portion of the graft. Stent deployed to repair stenosis and simultaneously exclude false aneurysm. Skin was anesthetized over false aneurysm and needle placed directly into false aneurysm to fully drain. Seal was not complete, so balloon was inflated in stent to exclude false aneurysm. Second time, a Yueh catheter was placed to drain. 0.7 cc thrombin was injected directly into false aneurysm to dwell. No further leakage to aneurysm - successfully thrombosed. With incision and drainage, clot was removed from false aneurysm. Incision was closed with suture. Next, angioplasty was performed to treat stenosis in mid portion graft." What CPT codes can be assigned for this case?