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Coding Check

Date: Nov 18, 2021

Question:

Procedures performed:

Subclavian Angiogram - 36225-50

Right & Left Heart Catheterization w/ bypass grafts - 93461

Coronary Angiography - 93461

Bypass Graft Study - 93461

Peripheral Angiography - 75716

Left Heart Catheterization w/ Bypass Grafts - 93461

Documentation:

· Chronic total occlusion of the mid LAD and mid Circumflex.

· Patent LIMA to LAD and SVG to Diagonal. Occluded SVG to OM2.

· Widely patent stents in the proximal-distal RCA with PDA-Circumflex collateral circulation.

· Severe stenoses of the distal left external iliac artery and distal right common iliac artery by sub-selective injection of the distal abdominal aorta. - 36245-RT and 36245-LT

· Mild stenoses of the bilateral distal subclavian arteries by selective injections of both vessels.

· Normal PA and PCW pressures.

· Left ventriculogram was deferred.

Can you please confirm whether my coding is correct? I am sure about all codes except 36245, 36246, and 75716.

36225-50, 93461-26, 75716, 36245-RT and 36245-LT

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