Ask Dr. Z

Left ventricular pseudoaneurysm non-congenital. Would you code this as 93799 for both HB and ProFee?

"The catheter was advanced into the left ventricle pressures were recorded.A LT ventriculogram was then performed.An 8 French guide liner was then advanced over this wire to the ostium of the pseudoaneurysm.A 2.0 mm x 15 mm coronary balloon was then advanced over this wire to the ostium of the pseudoaneurysm.Using the wire and the balloon at the support the telescope was advanced into the sac of the pseudoaneurysm without any difficulty.Angiographically and under TEE its position was confirmed.A 6 mm Amplatz to vascular plug was prepared and introduced into the guide catheter and eventually into the 8 French guide liner into the sac.It was deployed using standard technique with the distal disc and the body and the track and the proximal disc just at the ostium of the defect.TEE and angiography the device was released and found to be in a stable position. Prompt in situ thrombosis of the aneurysm sac was noted."