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Angiovac Tricuspid Valve Debulking with ICE

Date: Oct 12, 2020

Question:

Patient presents for Angiovac tricuspid valve vegetation debulking via IJ approach. ICE is used prior to Angiovac extraction to confirm location of vegetation. VV ECMO (percutaneous) is also performed, with US guided vascular access used for cannula insertion. My coding compliance department has rejected my request for set up of 93799 for stand-alone ICE use without an applicable base, and instructed me to use 36013 in past request. So my plan is to code 33999, 76937 x 2, 33946, 33952, and 36013-XS. Do you agree with this coding plan?

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