Please note this question was answered in 2023. The coding advice may or may not be outdated.
upper extremity angiography via axillofemoral bypass graft access
Question:
What catheterization code would be used for the following? Is this considered non-selective or selective?
Access was obtained in the right axillofemoral graft near the anterior superior iliac spine with the underlying inguinal ligament and iliac crest available for compression, using a micropuncture kit. This was exchanged for a 6 French sheath over a Bentson wire. A kumpe catheter and wire were advanced into the subclavian artery and angiogram images were obtained.
Angiographic Findings:
- successful access of the right axillofemoral graft with acute thrombus
- Patent right subclavian, axillary, and proximal brachial arteries and main branches
- Acute thrombus throughout axillary graft.
I found a similar case on question ID 4047 but it is outdated (2012) with now deleted codes. Thanks!
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