Ask Dr. Z

Dr. Z Physician performed gonadal vien embolization for vacicocele. While doing the procedure the final coil migrated to left renal vein. Physician made several attempts to remove the coil using several catheters and snare but unsucessful. He even considered using different access however after viewing the images decided the the diameter and high flow of the renal vein make future clinically significant events related to this short protruding segment of coil very unlikely.He left the migrated coil and successful embolization of gonadal vein. We are charging embolization of gondal vein however not sure if we can charge 37203-74 75961-74 since multiple attempts, time and effort to retract the migrated coil and also we have different opinions what to code for the diagnosis of the migrated coil? Please advice. Thanks