Ask Dr. Z

Can we please pick your brain? Would the below procedure qualify as occlusive, or should it be used with 37236? "The left external iliac artery is patent with minimal atherosclerotic disease. The SFA is patent for about a centimeter, and there is a total occlusion of the SFA along about 8 cm length and appeared there is reconstitution via collaterals. There is some filling defect in the proximal aspect of the reconstituted SFA, which is now about mid femoral level consistent with thrombus and probably the cause of embolic debris. The popliteal artery is patent with minor irregularities, but no evidence of aneurysm or stenosis." Physician "felt that recannulization of the SFA was indicated because of the concern of embolization and thrombus that a stent was indicated". Stent was placed in this area.