Please note this question was answered in 2022. The coding advice may or may not be outdated.
IMPELLA INS AND REMOVAL
Need to know if can charge 33992 on this case w/ Impella insertion.
*** the right groin was accessed using the modified seldinger technique. A 7fr french sheath was placed in the femoral artery. We then used a 4fr RIM catheter to go up and over and performed a femoral angiogram on the left iliac and femoral artery. Under fluroscopic guidance we obtained access on the left femoral artery and using the modifier seldinger technique placed a 6 fr sheath. and 14 fr sheath. ..... we then successfully delivered an impella cp in appropriate position with the outlet above the aortic valve and appropriate lv-ao waveforms confirmed on the implella console. we used a 7fr ebu 3.5 guide catheter ... engaged the left coronary artery and perfomed coronary angiogram in mulple views... instered to stent in LC and distal lm.
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