Ask Dr. Z

Would we use CPT code 37248 for the recanalization of the femoral vein performed here?

"We performed high pressure angioplasty up to 15 ATMs with a very tight waist that  resolved at full inflation. We performed three additional angioplasties up to 10 ATMs with no other waists noted. The balloon was deflated and removed and I performed a hand injection angiogram through the long sheath which showed further improvement in the patency of the femoral vein, although there was still an area of stenosis near the femoral head. We carefully prepared and de-aired a 7 mm Dorado balloon. This was advanced over the wire into the area of stenosis and multiple angioplasties performed. In the area of tough stenosis there was a waist seen that completely resolved at full inflation. The balloon was deflated and removed and I performed a hand injection angiogram through the long sheath which showed further improvement in the patency of the vessel."