Ask Dr. Z

Is code 37243 appropriate for the following procedure?

"A 4 French Cobra catheter was advanced over the aortic bifurcation and the left internal iliac artery was selected. Angiography was performed-microcatheter was advanced into the left uterine artery. A small vessel travelling inferiorly, likely a vaginal artery, was identified and the microcatheter advanced beyond this point. Embolization was performed with 500-700 micrometer beads until there was sluggish flow. After some difficulty attempting to cannulate the ipsilateral, right internal iliac artery with a SOS catheter, Omni flush catheter was used to access the artery and then exchanged for angled glide catheter over the wire. Angiography was performed which showed a smaller right uterine artery which was quite tortuous. Numerous attempts to advance the microcatheter distally were unsuccessful. This site was abandoned. The catheters were removed and an angiogram of the right external iliac artery and common femoral artery was performed showing normal caliber and anatomy."