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RIGHT STENT REVASCULARIZATION OF ORIGIN OF THE INNOMINATE ARTERY

Date: May 7, 2025

Question:

Should I report code 37218 for the following?

"A Seldinger needle was used to gain access to the carotid artery with placement of a wire directed into the descending aorta. A 6 French dilator was used to upsize the channel and facilitate placement of an 8 French sheath. Angiography was performed, showing evidence of a greater than 90% stenosis at the origin of the innominate artery. The patient had previously been anticoagulated. Subsequently, a 7.0 x 20 mm balloon was advanced to the area of high-grade stenosis, and angioplasty was performed. Angiography was performed, and ideal stent location was determined. Secondary to the near bovine anatomy ability to not cover the origin of the left common carotid artery was limited and obtained good results into the innominate artery. An 8.0 x 19 mm Omnilink stent was positioned to cover the area of atheroma and stenosis and deployed at 10 atm. This resulted in good apposition."

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