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Please note this question was answered in 2010. The coding advice may or may not be outdated.

Date: Aug 16, 2010

Question:

Our patient has a left chest fistula with a left pseudoaneurysm. The interventional radiologist performs a fistulogram and subsequent angioplasty of venous outflow stenoses. There is a sidehole within the graft which fills a very large aneurysm. The hole is repaired using a FLAIR stent graft and tacked into place using a DORADO balloon. Post stent graft deployment documents complete repair of the pseudoaneurysm. Additionally, a Yueh catheter was inserted into the pseudoaneurysm and complete evacuation of the extra blood in the pseudoaneurysm was performed. My question is how to code the catheter evacuation of extra blood in the pseudoaneurysm space? Or would this evacuation be inclusive in the stent graft placement for treatment of the pseudoaneurysm? Thanks for your advice Dr. Z.!

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