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spinal angiogram, 75705

Date: Oct 11, 2011

Question:

This was a involved case and I'm not sure we captured all the charges. Based on HIM's reply we were told not to charge for 36215, but I can't find anything that says to eliminate 36215 just bill 36216 & 36217. The catheter was used to select the right subclavian artery, followed by the right vertebral artery and a cerebral angiogram was obtained. The catheter was returned to the subclavian artery and used to select the thryocervical trunk and an angiogram was obtained. The catheter was advanced into the costal cervical trunk and an angiogram was obtained. The catheter was returned to the arch and used to select the left subclavian artery, followed by the left vertebral artery and a cervical and cerebral angiogram were obtained. The catheter was returned to the subclavian artery and used to select the thyrocervical trunk and an angiogram was obtained. The angled wide catheter was then exchanged for a Milaelsson catheter, that was 5-FR in diamter. The catheter was used to select the T5 radicular artery and angiograms were obtained bilaterally. angiograms were obtained of all the radicular arteries, down to L4. At this point the catheter was removed from the arterial system. The right femoral artery angiogram was obtained. This was obtained through the sheath. Hemostasis was achieved using a f 6 FR angio Seal closure device. 75685 x 2 ; 75705 x 24 ; 75774 x 4; Place cath add order x4; Place cath art 1st order x 24; cath art 2nd order x 1 & cath art 3rd order x 1?

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