Ask Dr. Z

Can you help me code this procedure? Is 35661, 33990-XU correct? "Using modified Seldinger technique, a 6 French sheath was advanced into the right femoral artery, and an 8 French sheath was advanced in the left femoral artery. Two Perclose sutures were deployed. We then advanced a 14 French sheath into the left femoral artery. We crossed the aortic valve using a pigtail catheter and exchanged this out over a 0.018 wire. We advanced an Impella CP and turned the pump on. We then placed the reposition sheath and then took out the tear away 14 French sheath. We then took another abdominal aortogram. We then performed an abdominal aortogram from the right femoral artery using a pigtail catheter, which demonstrated very sluggish flow in the SFA, which would likely recommend that this SFA would be occluded soon. For this reason, we again did antegrade access with a 6 French sheath in the left superficial femoral artery. We then connected the right femoral artery sheath via male to male connector to the left femoral artery antegrade sheath and turned the circuit on."