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Fistula PTA with foreign body retrieval

Date: Oct 4, 2023

Question:

"The graft was accessed under ultrasound guidance. Contrast was injected, confirming a focal stenosis at the level of mid humerus. A 6 French sheath was placed and a Kumpe catheter advanced into the proximal graft where contrast was injected. This demonstrates a second more proximal stenosis near the graft/venous anastomosis. Angioplasty was performed of these stenoses. Contrast was then injected more centrally where prominent collaterals are present. These seem to be related to a recurrent stenosis in the subclavian vein. Angioplasty was performed with a 12 mm balloon. The balloon ruptured and would not fit in the 7 French sheath. Unable to remove the balloon through the sheath, access was achieved in the right common femoral vein and a 10 French sheath placed. A snare was used to capture the proximal end of the balloon."

Are codes 36902, 36907 and 37197 correct? Can we also code the catheter placement from the groin?

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