Ask Dr. Z

Dr. Z or Dr. D could you please help?? If you have a doctor take over from different practices. Dr H brought pt to angiogram suite and performed an aortogram with runoff. This demonstrated a large pseudoaneurysm within the left iliac area and with blood flow into the left pelvis. I was consulted at this point (Dr F). Access to the left common femoral was performed by Dr H. An 8-French sheath was placed. Subsequently, a Jwire was inserted into the aorta. Runoff demonstrated the pseudoaneurysms that appeared to be coming off the common iliac artery. It should be noted that a LIMA catheter was used to select the left internal iliac artery to make sure that this was not the source of aberrant blood flow to the pseudonaueyrsm. This was not the source. Subsequently, a stif Amplatz wire was placed within the iliac system into the aorta. Covered atrium stents were placed. The completion angiogram was performed with a balloon 12x40 and 10x40 distally. Completion angio deomonstrated a complete exclusion of this pseudoaneurysm. There was no leaking into that or into the pelvic area. There is a slight type 1 leak into the iliac artery in the region of the distal common iliac artery. This was angioplastied again with a 12x40 ballon. There was no evidence of type 1 leak into the stent area. Can Dr. F charge for the cath movement into the iliac? 36246, 37205 and the 35473? Could you please help? I can't find in search a change of doctor. Thank you!