Please note this question was answered in 2022. The coding advice may or may not be outdated.
Declot of Thrombosed LT thigh AVG
Question:
Would this be coded as 36904 or 36905 or something else? From what we understand, "do not report removal of arterial plus during declot/thrombectomy as an angioplasty (36905) it's included in 36904, which includes balloon maceration. 1. u/s guided access LT thigh AVG directed towards venous outflow 2. inj. TPA into venous 1/2 of AVG 3. Balloon maceration & angioplasty of venous & AVG w/PTA balloon 4. 2nd U/S guided access of LT thigh AVG directed toward the arterial inflow. 5. Balloon sweep of arterial anastomosis of AVG w/Python balloon (to pull platelet plug of the AVG) 6. angioplasty of arterial end of AVG 7. completion venography w/cath parked in LT SFA FINDINGS: Initial AVG venogram = numerous filling defects along venous end of AVG consistent w/thrombus. 9mm graft aneurysm beyond apex of graft towards venous, fills upon inj. IMPRESSION: 1. Successful declot w/restoration of flow. entirety of graft angioplastied w/PTA balloon. 2. Viabahn stent-graft at venous anastomosis of AVG widely patent on completion image. Thank you.
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