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Subclavian Artery Angiogram/Intervention

Date: Jan 18, 2021

Question:

"Access site left CFA. Catheter was advanced over the wire to the ostium of the left subclavian, and selective angiogram was performed. This demonstrated a subtotally occluded left subclavian artery. Using digital subtraction angiography, the distal vessel did fill, suggesting some hibernating arterial supply for micro-channels. Balloon was advanced over the wire into the left axillary artery, and selective angiogram was performed. This demonstrated excellent flow to the arm. The balloon was then pulled back into the left subclavian artery, and selective angiogram was performed. This demonstrated no significant flow into the vertebral. The IVUS catheter was then inserted, and a pullback was performed. This demonstrated an axillary artery size of 7 mm. The left subclavian measured 6.5 x 7.3 mm with a 100% stenosis. Subclavian artery was then ballooned. It was inflated to 14 ATM for 20 seconds. Following this the lesion was then stented using a 6 x 40 mm Omnilink stent. It was deployed at 18 ATM for 30 seconds." Do I report codes 36225-LT, 37236, and 37252? Or do I report codes 75710-LT, 37236, and 37252?

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