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SMA stent - 37236 and attempted canalization of celiac artery - 36245-74?
Question:
Dr. Z,
An SMA stenting was performed (documentation not included) then the attempted work in the celiac artery. 37236 for the SMA stent. We're considering 36245-74 but not certain that is the correct way to bill it. Please advise.
Thank you
1. Right common femoral artery percutaneous access
2. Stenting of SMA
3. Selective celiac artery catheterization
I proceeded with attempts at canalizing the existing celiac artery stent. Using several different catheters I was able to get the angled glidewire to engage the celiac artery. I was not able to get the catheter to advance more than 1 to 2 mm into the artery itself and there was a question of whether the guidewire was actually going through the interstices of the stent or through the end of the stent itself. The attempts at canalizing this were successful several times but I was never able to advance a catheter through the interstices and after 40 minutes of fluoro time had been used I ceased efforts at recanalizing the celiac artery. Therefore, the guidewire and catheters were removed.
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